Medical Imaging Center, LLC
NPI 1245474022ActiveOrganization· Physiological Laboratory· Fayetteville, NC
Physiological Laboratory in Fayetteville, North Carolina, registered in NPPES in April 2009. The authorized official on file is Brandi Henry, Executive Directory. Medicare paid $639,680 for services to 5,398 patients in 2024.
Overview
| NPI | 1245474022 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2009 |
| Last updated in NPPES | Oct 13, 2022 |
| Certified by provider | Oct 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | LM0075 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 5,398 |
|---|---|
| Services billed | 57,556 across 184 procedure codes |
| Paid by Medicare | $639,680 |
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