OrganizationWake Radiology Diagnostic Imaging, Inc.RadiologyAllopathic & Osteopathic PhysiciansPractice Address3949 Browning Pl, Raleigh, NC 27609-6536(919) 787-8221PECOS EnrollmentBased on the most recent information from CMS, provider Wake Radiology Diagnostic Imaging, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1538123450Provider TypeOrganizationFull NameWake Radiology Diagnostic Imaging, Inc.SubpartNoEnumeration Date4/17/2006Last Updated9/1/2021Contact InformationPractice LocationPractice Address3949 Browning Pl, Raleigh, NC 27609-6536Phone(919) 787-8221Fax(919) 881-2079Mailing LocationMailing AddressPO Box 19368, Raleigh, NC 27619-9368Phone(919) 787-8221Fax(919) 881-2079Authorized OfficialNameWilcox, Charles Thomas (Business Manager)Phone(919) 787-8221Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2085B0100XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2085D0003XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2085N0700XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2085P0229XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2085R0204XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDCC3796DescriptionOtherIssuerRAILROAD MEDICARENorth Carolina