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OPTIMAL IMAGING LLC

Managed Care Organizations Point of Service

Provider NPI: 1124254529

Organization Information:
Organization Name:  OPTIMAL IMAGING LLC
Organization is not Subpart
Authorized Official:  JENINE MARIE ELLIS  OWNER  919-228-6366

Practice Location:
1000 CENTRE GREEN WAY STE 200  CARY, NC 27513-2270 US
Tel: 919-228-6366  Fax: --

Business Mailing Address:
1000 CENTRE GREEN WAY ,STE 200  CARY, NC 27513-2270 US
Tel: 919-228-6366  Fax: 919-228-6367

NPI Information:
NPI: 1124254529
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N305S00000XManaged Care Organizations
Point of Service
NC001731230
Y2471S1302XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2471S1302X

Type:

Classification:



Definition:



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