Provider Demographics
NPI:1487892519
Name:HEALTH ALERT SCREENING AND DIAGNOSTICS IMAGING LABORATORIES LLC
Entity type:Organization
Organization Name:HEALTH ALERT SCREENING AND DIAGNOSTICS IMAGING LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL DIRECTOR/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:UZOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVUKA
Authorized Official - Suffix:
Authorized Official - Credentials:MBBCH, RVT,RVS
Authorized Official - Phone:623-455-1219
Mailing Address - Street 1:5250 LITTLE SANDY DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5855
Mailing Address - Country:US
Mailing Address - Phone:623-547-6105
Mailing Address - Fax:
Practice Address - Street 1:111 WINDEL DR
Practice Address - Street 2:SUITE 221
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4475
Practice Address - Country:US
Practice Address - Phone:623-547-6105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty