Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mecklenburg Diagnostic Imaging LLC

Diagnostic Radiology Physician in Mooresville, NC · enumerated 2007 · authorized official Geoffrey Gardner, Svp Finance and Revenue Cycle.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215080536

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Registry record

Entity type Organization (Type 2)

Legal business name Mecklenburg Diagnostic Imaging LLC

Other name <Unavail>

Practice address 118 Gateway Blvd Ste E, Mooresville, NC, 28117

Phone (704) 662-8580

Fax (704) 662-8846

Enumeration date Jan 19, 2007

Last updated in NPPES Mar 19, 2024

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Geoffrey Gardner

Title Svp Finance and Revenue Cycle

Phone (336) 718-2078

Other identifiers

Identifier	Type	State	Issuer
P00315955	Other	NC	MEDICARE RAILROAD
7456027	Other	NC	AETNA
1897409	Other	-	UHC
020FX	Other	NC	BCBS
153718703	Other	NC	DOL
5906448	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mecklenburg Diagnostic Imaging LLC located?

The practice location on file with NPPES is in Mooresville, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-19. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-19.