Professional Ultrasound & Imaging
NPI 1649398751ActiveOrganization· Physiological Laboratory· Whiteville, NC
Physiological Laboratory in Whiteville, North Carolina, registered in NPPES in March 2007. The authorized official on file is Christian Horton Lane, RTR, RCS, Owner. Medicare paid $12,601 for services to 88 patients in 2024.
Overview
| NPI | 1649398751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2007 |
| Last updated in NPPES | May 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | 279513 | NC |
| Radiologic Technologist | 247100000X | 112625 | 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 | 88 |
|---|---|
| Services billed | 125 across 11 procedure codes |
| Paid by Medicare | $12,601 |
Other Physiological Laboratory providers in Whiteville
- 1417298134
- 1457336174