NOVANT HEALTH IMAGING SOUTHPARK
NPI 1093773384
Radiology - Diagnostic Radiology in Charlotte, NC

Active since May 03, 2006CLIA 34D1014535 · Waiver
6324 FAIRVIEW RD, SUITE 120 A, CHARLOTTE, NC 28210(704) 362-8444(704) 362-3557 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Novant Health Imaging Southpark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH IMAGING SOUTHPARK (NPI 1093773384) is a healthcare organization registered as a diagnostic radiology in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Geoffrey K. Gardner, Svp Finance And Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1093773384
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMECKLENBURG DIAGNOSTIC IMAGING LLC
Location Address6324 FAIRVIEW RD, SUITE 120 ACharlotte, NC 28210-3200
Mailing AddressPo Box 603543Charlotte, NC 28260-3543 · (678) 393-5600 · Fax (770) 300-9018
Fax(704) 362-3557
Organization SubpartNo
Authorized OfficialGeoffrey K. GardnerSvp Finance And Revenue Cycle · (336) 718-2078
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1093773384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6324 FAIRVIEW RD, Charlotte, NC 28210

Other Names 1

Doing Business AsNovant Health Imaging Southpark

Other Identifiers 6

MedicaidSL0083SC
Other01514NC · Bcbs Nc
MedicaidNPB300SC
Other153718700NC · Dol
OtherP00315955Medicare Rr
Medicaid6901514NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1014535

Novant Health Imaging Southpark · Charlotte, NC
Active · expires Jun 21, 2028
CLIA Number34D1014535
Laboratory TypeOther
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorBill Greear
Laboratory Phone(704) 362-8444
Laboratory LocationNovant Health Imaging Southpark6324 Fairview Road Suite 120, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 43

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
20,735 services227 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
17,085 services155 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
695 services695 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
692 services692 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
450 services450 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
235 services213 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6324 FAIRVIEW RD, SUITE 201
CHARLOTTE, NC 28210
Internal Medicine
6324 FAIRVIEW RD, SUITE 310
CHARLOTTE, NC 28210
Radiology (Diagnostic Radiology)
6324 FAIRVIEW RD, SUITE 120 A
CHARLOTTE, NC 28210
Internal Medicine (Geriatric Medicine)
6324 FAIRVIEW RD, SUITE 310
CHARLOTTE, NC 28210
Obstetrics & Gynecology
6324 FAIRVIEW RD, SUITE 390
CHARLOTTE, NC 28210
Nurse Practitioner
6324 FAIRVIEW RD, SUITE 350
CHARLOTTE, NC 28210
Physician Assistant
6324 FAIRVIEW RD
CHARLOTTE, NC 28210
Obstetrics & Gynecology
6324 FAIRVIEW RD, STE 390
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mecklenburg Diagnostic Imaging LLC's NPI number?

The NPI number for Mecklenburg Diagnostic Imaging LLC is 1093773384. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Novant Health Imaging Southpark.

Where is Mecklenburg Diagnostic Imaging LLC located?

Mecklenburg Diagnostic Imaging LLC is located at 6324 Fairview Rd Suite 120 A, Charlotte, NC 28210. The listed phone number is (704) 362-8444.

What is Mecklenburg Diagnostic Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Mecklenburg Diagnostic Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1014535) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mecklenburg Diagnostic Imaging LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Mecklenburg Diagnostic Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mecklenburg Diagnostic Imaging LLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.