Healthcare Provider Details

I. General information

NPI: 1497293773
Provider Name (Legal Business Name): INVISION DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11220 ELM LN STE 200
CHARLOTTE NC
28277-0450
US

IV. Provider business mailing address

PO BOX 13219
DURHAM NC
27709-3219
US

V. Phone/Fax

Practice location:
  • Phone: 704-624-6228
  • Fax:
Mailing address:
  • Phone: 778-318-1349
  • Fax: 704-966-2407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0207X
TaxonomyMobile Mammography Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DYER
Title or Position: PRESIDENT
Credential:
Phone: 877-318-1349