| Phoenix Diagnostic Services LLC | |
|
109 Hay Street Ste. 202 Fayetteville NC 28301 | |
| (910) 778-1312 | |
| (866) 635-1796 |
| Full Name | Phoenix Diagnostic Services LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 109 Hay Street, Fayetteville, North Carolina |
| Authorized Official Name and Position | Gina Murray (CEO) |
| Authorized Official Contact | 9107781312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Diagnostic Services LLC 109 Hay Street Ste. 202 Fayetteville NC 28301 Ph: (910) 778-1312 | Phoenix Diagnostic Services LLC 109 Hay Street Ste. 202 Fayetteville NC 28301 Ph: (910) 778-1312 |
| NPI Number | 1992527154 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992527154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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