SOUTHEASTERN RADIOLOGY PA
NPI 1669476453
Radiology - Diagnostic Radiology in Greensboro, NC

Q: What is Southeastern Radiology PA's NPI number?

The NPI number for Southeastern Radiology PA is 1669476453. It was assigned to this organization in the NPPES registry on June 9, 2005.

Q: What is Southeastern Radiology PA's specialty?

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

Active since June 09, 2005

3801 W MARKET ST, GREENSBORO, NC 27407(336) 852-3300(336) 852-0651 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southeastern Radiology Pa NPPES

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

SOUTHEASTERN RADIOLOGY PA (NPI 1669476453) is a healthcare organization registered as a diagnostic radiology in Greensboro, North Carolina and active in the NPI registry since June 2005. The organization lists Dallas Aaron Smith, President, as its authorized official.

NPPES Registry Identity

NPI1669476453

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameSOUTHEASTERN RADIOLOGY PA

Location Address3801 W MARKET STGreensboro, NC 27407-1301

Mailing Address3801 W Market StGreensboro, NC 27407-1301 · (336) 852-3300 · Fax (336) 852-0651

Phone(336) 852-3300

Fax(336) 852-0651

Organization SubpartNo

Authorized OfficialDallas Aaron SmithPresident · (336) 852-3300

Enumeration DateJune 9, 2005

Last NPPES UpdateDecember 8, 2008

✔ NPI 1669476453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NC · 400555

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3801 W MARKET ST, Greensboro, NC 27407

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Other Identifiers 2

Medicare ID-Type Unspecified2314473NC

Medicaid890252KNC

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

Other Providers at the Same Location NPPES 15

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

BETHANY MEDICAL CENTER

Family Medicine