Mecklenburg Diagnostic Imaging LLC
NPI 1215080536 · Diagnostic Radiology Physician · Mooresville, NC
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mecklenburg Diagnostic Imaging LLC is a Diagnostic Radiology Physician organization in Mooresville, NC (NPI 1215080536).
Provider details
- NPI number
- 1215080536
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Svp Finance and Revenue Cycle(336) 718-2078
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,447 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 223 | $204 |
| Ct Scan of Chest Without Contrast71250 | 210 | $76 |
| Ct Scan of Chest With Contrast71260 | 162 | $69 |
| Low Dose Ct Scan of Chest for Lung Cancer Screening71271 | 98 | $81 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 75 | $113 |
| Ct Scan Head Or Brain Without Contrast70450 | 57 | $63 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Novant Health Imaging Mooresville
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Frequently asked questions
- What is Mecklenburg Diagnostic Imaging LLC's NPI number?
- Mecklenburg Diagnostic Imaging LLC's National Provider Identifier (NPI) is 1215080536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mecklenburg Diagnostic Imaging LLC?
- Mecklenburg Diagnostic Imaging LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Mecklenburg Diagnostic Imaging LLC located?
- Mecklenburg Diagnostic Imaging LLC's practice location on file with NPPES is 118 Gateway Blvd Ste E, Mooresville, NC 28117-6542.
- What is Mecklenburg Diagnostic Imaging LLC's phone number?
- The practice phone number listed in the NPPES registry for Mecklenburg Diagnostic Imaging LLC is (704) 662-8580.
- Does Mecklenburg Diagnostic Imaging LLC accept Medicare?
- Mecklenburg Diagnostic Imaging LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mecklenburg Diagnostic Imaging LLC?
- The authorized official listed on Mecklenburg Diagnostic Imaging LLC's NPPES record is Geoffrey Gardner, Svp Finance and Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mecklenburg Diagnostic Imaging LLC's NPI active?
- Yes — Mecklenburg Diagnostic Imaging LLC's NPI (1215080536) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.