INDEPENDENCE PARK
NPI 1821046004
Radiology - Diagnostic Radiology in Durham, NC

Active since May 04, 2006CLIA 34D0999196 · Waiver
4323 BEN FRANKLIN BLVD, DURHAM, NC 27704(919) 471-4840(919) 321-1575 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Independence Park NPPES

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

INDEPENDENCE PARK (NPI 1821046004) is a healthcare organization registered as a diagnostic radiology in Durham, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Geoffrey K. Gardner, Svp Finance And Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1821046004
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDURHAM DIAGNOSTIC IMAGING LLC
Location Address4323 BEN FRANKLIN BLVDDurham, NC 27704-2177
Mailing AddressPo Box 933393Atlanta, GA 31193-0001 · (866) 659-1211 · Fax (336) 774-1751
Fax(919) 321-1575
Organization SubpartNo
Authorized OfficialGeoffrey K. GardnerSvp Finance And Revenue Cycle · (336) 718-2078
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1821046004 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.
4323 BEN FRANKLIN BLVD, Durham, NC 27704

Other Names 1

Doing Business AsIndependence Park

Other Identifiers 4

Medicaid89014E3NC
Other0187QNC · Bcbs Nc
Other205314600NC · Dol
OtherP00014222Medicare Rr

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 34D0999196

Durham Diagnostic Imaging · Durham, NC
Active · expires May 6, 2028
CLIA Number34D0999196
Laboratory TypeOther
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorDr. Christopher Cepeda
Laboratory Phone(919) 471-4840
Laboratory LocationDurham Diagnostic Imaging4323 Ben Franklin Blvd, Durham, NC 27704
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 57

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.
23,345 services238 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.
14,050 services135 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.
1,664 services1,664 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.
1,664 services1,664 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.
530 services530 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.
281 services246 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 Durham Diagnostic Imaging LLC's NPI number?

The NPI number for Durham Diagnostic Imaging LLC is 1821046004. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Independence Park.

Where is Durham Diagnostic Imaging LLC located?

Durham Diagnostic Imaging LLC is located at 4323 Ben Franklin Blvd, Durham, NC 27704. The listed phone number is (919) 471-4840.

What is Durham Diagnostic Imaging LLC's specialty?

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

Does Durham Diagnostic Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0999196) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Durham Diagnostic Imaging LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Durham 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 Durham Diagnostic Imaging LLC was last updated on March 20, 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.