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General NPI Number Information
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NPI Number | 1265469795
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC RADIOLOGY & IMAGING LLC
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 315 W WENDOVER AVE
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City | GREENSBORO
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State | NC
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Zip | 27408-8401
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Country | US
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Telephone | 336-433-5000
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Fax | 336-433-5111
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Provider Business Mailing Address
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Address Line | 1150 REVOLUTION MILL DR STE 9
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City | GREENSBORO
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State | NC
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Zip | 27405-5086
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Country | US
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Telephone | 336-280-4003
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Fax | 336-303-1696
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Authorized Official
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Title or Position | COO
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Name | KELLI ANNETTE COLLINS
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Credential |
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Telephone | 336-433-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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