=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982526935
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAROMONT HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 620 SUMMIT CROSSING PLACE
-----------------------------------------------------
City | GASTONIA
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28054-2140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-671-5300
-----------------------------------------------------
Fax | 704-671-5459
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2525 COURT DRIVE
-----------------------------------------------------
City | GASTONIA
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28054-2140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-671-5307
-----------------------------------------------------
Fax | 704-834-2590
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EVP, CFO
-----------------------------------------------------
Name | DAVID O'CONNOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 704-834-2127
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0208X
-----------------------------------------------------
Taxonomy Name | Mobile Radiology Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------