Healthcare Provider Details
I. General information
NPI: 1831445576
Provider Name (Legal Business Name): PREMIER IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2012
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
404 WESTWOOD AVE STE 109
HIGH POINT NC
27262-4316
US
IV. Provider business mailing address
404 WESTWOOD AVE STE 109
HIGH POINT NC
27262-4316
US
V. Phone/Fax
- Phone: 336-781-4299
- Fax:
- Phone: 336-801-5876
- Fax: 336-801-5855
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
WILLIAM
HOEKSTRA
Title or Position: PRESIDENT, HIGH POINT MEDICAL CENTE
Credential: MD
Phone: 336-716-8021