Provider Demographics
NPI:1447286018
Name:RADIATION SERVICES OF NORTH CAROLINA LLC
Entity type:Organization
Organization Name:RADIATION SERVICES OF NORTH CAROLINA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:SINESI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-209-8483
Mailing Address - Street 1:6477 COLLEGE PARK SQ
Mailing Address - Street 2:202
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-3611
Mailing Address - Country:US
Mailing Address - Phone:757-424-3870
Mailing Address - Fax:757-424-3874
Practice Address - Street 1:301 ACADEMY ST S
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3243
Practice Address - Country:US
Practice Address - Phone:252-209-8483
Practice Address - Fax:252-209-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC012PPOtherBCBS OF N C
NC89012PPMedicaid
NC012PPOtherBCBS OF N C