NOVANT HEALTH IMAGING MOORESVILLE
NPI 1215080536
Radiology - Diagnostic Radiology in Mooresville, NC

Active since January 19, 2007CLIA 34D1069352 · Waiver
118 GATEWAY BLVD STE E, MOORESVILLE, NC 28117(704) 662-8580(704) 662-8846 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Novant Health Imaging Mooresville NPPES

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

NOVANT HEALTH IMAGING MOORESVILLE (NPI 1215080536) is a healthcare organization registered as a diagnostic radiology in Mooresville, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Geoffrey K. Gardner, Svp Finance And Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1215080536
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMECKLENBURG DIAGNOSTIC IMAGING LLC
Location Address118 GATEWAY BLVD STE EMooresville, NC 28117-6542
Mailing AddressPo Box 603543Charlotte, NC 28260-3543 · (678) 393-5600 · Fax (770) 300-9018
Fax(704) 662-8846
Organization SubpartNo
Authorized OfficialGeoffrey K. GardnerSvp Finance And Revenue Cycle · (336) 718-2078
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1215080536 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.
118 GATEWAY BLVD STE E, Mooresville, NC 28117

Other Names 1

Doing Business AsNovant Health Imaging Mooresville

Other Identifiers 6

OtherP00315955NC · Medicare Railroad
Other7456027NC · Aetna
Other1897409Uhc
Other020FXNC · Bcbs
Other153718703NC · Dol
Medicaid5906448NC

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 34D1069352

Novant Health Imaging Mooresville · Mooresville, NC
Active · expires Mar 10, 2028
CLIA Number34D1069352
Laboratory TypeOther
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorStephanie Eidler
Laboratory Phone(704) 662-8580
Laboratory LocationNovant Health Imaging Mooresville118 Gateway Blvd Ste E, Mooresville, NC 28117
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 34

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.

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.
32,590 services317 patients
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.
9,901 services114 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
223 services186 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
210 services185 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
162 services113 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
98 services98 patients

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 1215080536. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Novant Health Imaging Mooresville.

Where is Mecklenburg Diagnostic Imaging LLC located?

Mecklenburg Diagnostic Imaging LLC is located at 118 Gateway Blvd Ste E, Mooresville, NC 28117. The listed phone number is (704) 662-8580.

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 34D1069352) is associated with this NPI, valid through March 10, 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.