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IREDELL RADIOLOGY ASSOCIATES PA
NPI 1235197179
Radiology - Diagnostic Radiology in Statesville, NC

Active since May 02, 2006
548 BROOKDALE DR, STATESVILLE, NC 28677(704) 872-6122 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Iredell Radiology Associates Pa NPPES

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

IREDELL RADIOLOGY ASSOCIATES PA (NPI 1235197179) is a healthcare organization registered as a diagnostic radiology in Statesville, North Carolina and active in the NPI registry since May 2006. The organization lists Gerry Wilson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235197179
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameIREDELL RADIOLOGY ASSOCIATES PA
Location Address548 BROOKDALE DRStatesville, NC 28677-4108
Mailing Address548 Brookdale DrStatesville, NC 28677-4108
Phone(704) 872-6122
Organization SubpartNo
Authorized OfficialGerry WilsonOffice Manager · (704) 872-6122
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 8, 2010
✔ NPI 1235197179 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.
548 BROOKDALE DR, Statesville, NC 28677
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Other Identifiers 2

Medicare ID-Type Unspecified2318240NC
Medicaid890184BNC

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

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 Iredell Radiology Associates PA's NPI number?

The NPI number for Iredell Radiology Associates PA is 1235197179. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Iredell Radiology Associates PA located?

Iredell Radiology Associates PA is located at 548 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 872-6122.

What is Iredell Radiology Associates PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Iredell Radiology Associates PA was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.