Southern Pines Diagnostic Imaging, LLC
NPI 1467068833ActiveOrganization· Physiological Laboratory· Southern Pines, NC
Physiological Laboratory in Southern Pines, North Carolina, registered in NPPES in September 2020. The authorized official on file is Mickey Foster, Ceo. Medicare paid $41,194 for services to 336 patients in 2024.
Overview
| NPI | 1467068833 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2020 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
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 | 336 |
|---|---|
| Services billed | 577 across 27 procedure codes |
| Paid by Medicare | $41,194 |