Healthcare Provider Details

I. General information

NPI: 1295788974
Provider Name (Legal Business Name): ASHEVILLE IMAGING LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 BILTMORE AVE
ASHEVILLE NC
28801-4612
US

IV. Provider business mailing address

PO BOX 2146
INDIANAPOLIS IN
46206-2146
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-0801
  • Fax:
Mailing address:
  • Phone: 877-685-2164
  • Fax: 317-705-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN A BRAZIL
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 828-213-0799