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CAROLINA IMAGING LLC OF FAYETTEVILLE
NPI 1205000916
Radiology - Diagnostic Radiology in Fayetteville, NC

Active since April 15, 2008CLIA 34D1012329 · Waiver
3628 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 483-1321(910) 323-3521 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Imaging Llc Of Fayetteville NPPES

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

CAROLINA IMAGING LLC OF FAYETTEVILLE (NPI 1205000916) is a healthcare organization registered as a diagnostic radiology in Fayetteville, North Carolina and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Daniel J Schaefer, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1205000916
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCAROLINA IMAGING LLC OF FAYETTEVILLE
Location Address3628 CAPE CENTER DRFayetteville, NC 28304-4406
Mailing AddressP.o. Box 933393Atlanta, GA 31193-3393 · (336) 659-1211 · Fax (336) 774-1751
Phone(910) 483-1321
Fax(910) 323-3521
Organization SubpartNo
Authorized OfficialDaniel J SchaeferC.o.o. · (770) 300-0101
Enumeration DateApril 15, 2008
Last NPPES UpdateAugust 23, 2012
✔ NPI 1205000916 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.
3628 CAPE CENTER DR, Fayetteville, NC 28304
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Other Identifiers 2

Medicare PIN2316820NC
OtherCA8698Rr Medicare Pin

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

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 34D1012329

Carolina Imaging Inc · Fayetteville, NC
Active · expires Aug 19, 2026
CLIA Number34D1012329
Laboratory TypeOther
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorWalter B. Hatcher MD
Laboratory Phone(910) 483-1321
Laboratory LocationCarolina Imaging Inc3628 Cape Center Drive, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. NICK N.T. LOMIS MD
Radiology (Diagnostic Radiology)
3628 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-1321
DR. DANIEL S GORDON MD
Radiology (Diagnostic Radiology)
3628 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-1321
DR. WALTER B HATCHER MD
Radiology (Diagnostic Radiology)
3628 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-1321
CAROLINA IMAGING LLC OF FAYETTEVILLE
Radiology (Diagnostic Radiology)
3628 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-1321

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 Carolina Imaging LLC Of Fayetteville's NPI number?

The NPI number for Carolina Imaging LLC Of Fayetteville is 1205000916. It was assigned to this organization in the NPPES registry on April 15, 2008.

Where is Carolina Imaging LLC Of Fayetteville located?

Carolina Imaging LLC Of Fayetteville is located at 3628 Cape Center Dr, Fayetteville, NC 28304. The listed phone number is (910) 483-1321.

What is Carolina Imaging LLC Of Fayetteville's specialty?

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

Does Carolina Imaging LLC Of Fayetteville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1012329) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Imaging LLC Of Fayetteville was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.