{"npi":"1295790657","type":"NPI-2","status":"active","name":{"display":"Mecklenburg Radiology Associates, P.A.","other":[],"organization_name":"MECKLENBURG RADIOLOGY ASSOCIATES, P.A.","authorised_official":"Catherine French"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"NC","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3623 LATROBE DR","city":"CHARLOTTE","state":"NC","postal_code":"282111187","country_code":"US","street_2":"SUITE 216","phone":"7043321291","fax":"7043325206"},{"purpose":"MAILING","street_1":"PO BOX 221249","city":"CHARLOTTE","state":"NC","postal_code":"282221249","country_code":"US","phone":"7043321291","fax":"7043325206"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"204224B","state":"NC","issuer":"PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040205001004","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"6800789587"},{"enrlmt_id":"O20130225000107","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"6800789587"},{"enrlmt_id":"O20170824003278","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"6800789587"},{"enrlmt_id":"O20191108001040","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"6800789587"},{"enrlmt_id":"O20210713001338","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"6800789587"},{"enrlmt_id":"O20220210001153","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KY","pac_id":"6800789587"},{"enrlmt_id":"O20230530000599","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"6800789587"},{"enrlmt_id":"O20240202002317","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"6800789587"},{"enrlmt_id":"O20241003000047","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"6800789587"},{"enrlmt_id":"O20241011001950","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NV","pac_id":"6800789587"},{"enrlmt_id":"O20250610000039","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MA","pac_id":"6800789587"},{"enrlmt_id":"O20251203000684","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"6800789587"},{"enrlmt_id":"O20251208001113","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"6800789587"}]},"enumeration_date":"2006-04-19","last_updated":"2024-02-15","_meta":{"source":"NPPES","snapshot_date":"2024-02-15","doc_url":"https://findmynpi.com/api"}}