ATRIUM HEALTH IMAGING KANNAPOLIS
NPI 1699104844
Specialist in Kannapolis, NC
NPI Status: Active since November 08, 2013
Contact Information
201 DALE EARNHARDT BLVD
SUITE 100
KANNAPOLIS, NC
ZIP 28081
Phone: (704) 403-7406
Fax: (704) 403-7548
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 34D0906037
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-30-2027
About ATRIUM HEALTH IMAGING KANNAPOLIS
This page provides the complete NPI Profile along with additional information for Atrium Health Imaging Kannapolis, a provider established in Kannapolis, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1699104844 assigned on November 2013. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Atrium Health Imaging Kannapolis. The authorized official of this NPI record is John Krepshaw (Vp Radiology)
- NPI
- 1699104844
- Provider Legal Name
- UNION MEDICAL SERVICES LLC
- Other Organization Name
- ATRIUM HEALTH IMAGING KANNAPOLIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 201 DALE EARNHARDT BLVD SUITE 100 KANNAPOLIS, NC 28081
- Location Phone
- (704) 403-7406
- Location Fax
- (704) 403-7548
- Mailing Address
- 201 DALE EARNHARDT BLVD SUITE 100 KANNAPOLIS, NC 28081
- Mailing Phone
- (704) 403-7406
- Mailing Fax
- (704) 403-7548
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2013
- Last Update Date
- 10-27-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 293D00000X | Laboratories | Physiological Laboratory |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health - EPO
- Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Bronze Standard | with Atrium Health - EPO
- Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Gold Standard | with Atrium Health - EPO
- Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health - EPO
- Blue Local Silver Standard | with Atrium Health - EPO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Analysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation and report
Complete ultrasound of abdomen and pelvis artery and vein blood flow
Complete ultrasound scan behind abdominal cavity
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis before and after contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of abdominal aorta and both leg arteries with contrast
Ct scan of arm without contrast
Ct scan of blood vessels and grafts of heart with contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of heart structure with contrast
Ct scan of lower spine without contrast
Ct scan of soft tissue of neck with contrast
Injection, gadobutrol, 0.1 ml
Limited ultrasound scan of abdomen
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Mri scan of arm joint without contrast
Mri scan of brain before and after contrast
Mri scan of brain without contrast
Mri scan of leg joint without contrast
Mri scan of lower spinal canal without contrast
Mri scan of upper spinal canal without contrast
Ultrasound of both sides of head and neck blood flow
Ultrasound scan of head and neck soft tissue
X-ray of chest, 2 views
X-ray of hip, 2-3 views
X-ray of lower and sacral spine, 2-3 views
X-ray of shoulder, minimum of 2 views
This procedure involves studying data from a CT scan of your heart's blood vessels. It helps evaluate the severity of any artery disease present in your heart. The findings are then interpreted and compiled into a report for further medical action.
This service was performed 66 times for 66 patientsThis procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.
This service was performed 19 times for 18 patientsA complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 32 times for 32 patientsA CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
This service was performed 37 times for 35 patientsA CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
This service was performed 22 times for 22 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 24 times for 24 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 15 times for 14 patientsA CT scan of the abdominal aorta and both leg arteries with contrast is a medical imaging procedure. A special dye is injected to make your blood vessels visible on the scan. This helps to check for any blockages or abnormalities in these areas.
This service was performed 19 times for 19 patientsA CT scan of the arm without contrast is a non-invasive imaging test. It uses X-ray technology to capture detailed images of your arm's structures. It doesn't involve any contrasting dye, hence, minimal preparation is required. It helps in diagnosing injuries or conditions affecting the arm.
This service was performed 11 times for 11 patientsA CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.
This service was performed 141 times for 141 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 23 times for 23 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 39 times for 37 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 97 times for 94 patientsA CT scan of the heart with contrast is a non-invasive test. A dye is injected into your veins, which helps to highlight heart structures in the images. The CT scanner uses X-rays to create detailed pictures of your heart, aiding in diagnosis.
This service was performed 50 times for 50 patientsA CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
This service was performed 17 times for 17 patientsA CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.
This service was performed 12 times for 12 patientsGadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
This service was performed 3,485 times for 41 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 44 times for 42 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 28,116 times for 292 patientsAn MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 15 times for 15 patientsAn MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
This service was performed 23 times for 20 patientsAn MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
This service was performed 31 times for 31 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 12 times for 12 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 36 times for 36 patientsAn MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
This service was performed 12 times for 12 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 13 times for 13 patientsAn ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
This service was performed 27 times for 27 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 97 times for 88 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 17 times for 17 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 11 times for 11 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 13 times for 13 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0906037
- Facility Type
- Physician Office
- Certificate Effective Date
- May 01, 2025
- Certificate Expiration Date
- April 30, 2027
- Laboratory Director
- ANUPAMA HA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Atrium Health Imaging Kannapolis in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 9 | 9 | 1 | 0 | 4 | 8 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 18 | 9 | 2 | 0 | 8 | 8 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 8 + 9 + 2 + 0 + 8 + 8 + 8 + 24 = 76 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 76 = 4 | 4 |
The NPI number 1699104844 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1861667388 | CABARRUS PEDIATRIC PRACTICE, INC. Organization | Pediatrics | 201 DALE EARNHARDT BLVD SUITE 201 KANNAPOLIS, NC 28081 (704) 403-7735 |
1588115976 | KANNAPOLIS INTERNAL MEDICINE Organization | Clinic/Center | 201 DALE EARNHARDT BLVD SUITE 200 KANNAPOLIS, NC 28081 (704) 403-7300 |
1477539005 | DONNA CHILDRESS MD Individual | Internal Medicine | 201 DALE EARNHARDT BLVD SUITE 200 KANNAPOLIS, NC 28081 (704) 932-1155 |
1790757763 | HAROLD THOMAS III MD Individual | Internal Medicine | 201 DALE EARNHARDT BLVD 201 DALE EARNHARDT BLVD KANNAPOLIS, NC 28081 (704) 932-1155 |
1336111582 | WAYNE PHILLIP MD Individual | Internal Medicine | 201 DALE EARNHARDT BLVD 201 DALE EARNHARDT BLVD KANNAPOLIS, NC 28081 (704) 932-1155 |
1295707180 | BRIGID A. MORRIS MD Individual | Internal Medicine | 201 DALE EARNHARDT BLVD STE 200 KANNAPOLIS, NC 28081 (704) 932-1155 |
1568899136 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY Organization | Internal Medicine | 201 DALE EARNHARDT BLVD STE 200 KANNAPOLIS, NC 28081 (704) 932-1155 |
1558338210 | LINDA D. THOMAS FNP Individual | Nurse Practitioner | 201 DALE EARNHARDT BLVD STE 200 KANNAPOLIS, NC 28081 (704) 932-1155 |
1265960983 | SHELLIAN SIMONE DAVIS DO Individual | Internal Medicine | 201 DALE EARNHARDT BLVD STE 200 KANNAPOLIS, NC 28081 (704) 932-1155 |
1518139732 | LISA LYNNE WATSON NP Individual | Nurse Practitioner | 201 DALE EARNHARDT BLVD STE 201 KANNAPOLIS, NC 28081 (704) 403-7430 |
1659051597 | DARRIUS SHERADE MARABLE RD Individual | Dietitian, Registered | 201 DALE EARNHARDT BLVD STE 201 KANNAPOLIS, NC 28081 (704) 403-7430 |
1659324333 | KERRY R. BIANCHI MD Individual | Internal Medicine | 201 DALE EARNHARDT BLVD STE 200 KANNAPOLIS, NC 28081 (704) 932-1155 |
1679252746 | CRISTIANA GRESHAM BRAY NP Individual | Nurse Practitioner | 201 DALE EARNHARDT BLVD STE 201 KANNAPOLIS, NC 28081 (704) 403-7430 |
1740587500 | ANDREA COSTANZO FNP Individual | Nurse Practitioner (Family) | 201 DALE EARNHARDT BLVD STE 200 KANNAPOLIS, NC 28081 (704) 932-1155 |
1760220370 | MCNEELY AND MALLETTE DDS PA Organization | Dentist | 201 DALE EARNHARDT BLVD KANNAPOLIS, NC 28081 (704) 496-9001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699104844, enumerated in the NPI registry as an "organization" on November 08, 2013
The provider is located at 201 Dale Earnhardt Blvd Suite 100 Kannapolis, Nc 28081 and the phone number is (704) 403-7406
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Analysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation and report, Complete ultrasound of abdomen and pelvis artery and vein blood flow, Complete ultrasound scan behind abdominal cavity, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis before and after contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of abdominal aorta and both leg arteries with contrast, Ct scan of arm without contrast, Ct scan of blood vessels and grafts of heart with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of heart structure with contrast, Ct scan of lower spine without contrast, Ct scan of soft tissue of neck with contrast, Injection, gadobutrol, 0.1 ml, Limited ultrasound scan of abdomen, Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, Mri scan of arm joint without contrast, Mri scan of brain before and after contrast, Mri scan of brain without contrast, Mri scan of leg joint without contrast, Mri scan of lower spinal canal without contrast, Mri scan of upper spinal canal without contrast, Ultrasound of both sides of head and neck blood flow, Ultrasound scan of head and neck soft tissue, X-ray of chest, 2 views, X-ray of hip, 2-3 views, X-ray of lower and sacral spine, 2-3 views and X-ray of shoulder, minimum of 2 views.
The provider's CLIA number is 34D0906037 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on November 08, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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