Aetna "Select Provider" Listing - High-Tech Radiology NORTH CAROLINA ANSON COUNTY Wadesboro Anson Community Hospital 6380845, 158093 500 Morven Road Wadesboro, NC 28170 Phone: 704-694-5131 BURKE COUNTY Morganton Blue Ridge HealthCare Imaging, LLC 7493369, 158015 2201 South Sterling Street Morganton, NC 28655 Phone: 828-580-6721 Grace Hospital 2201 South Sterling Street Morganton, NC 28655 Phone: 828-580-5000 / Fax: 828-580-5039 6380595, 158015 Valdese Valdese General Hospital 720 Malcolm Blvd. Valdese, NC 28690 Phone: 828-874-2251 4310462, 193511 CABARRUS COUNTY Concord Access Medical Imaging, PLLC 7853923, 3242867 7756 Gateway Lane Concord, NC 28027 Phone: 704-979-1264 / Fax: 704-979-1265 Carolinas Medical Center - North East 920 Church Street North, Suite 255 Phone: 704-783-3000, PET 6380270, 1732761 North Carolina Diagnostic Imaging- Cabarrus 7290206, 3201769 925 Bradley Street Northeast Phone: 704-262-9885 / Fax: 704-262-9886 354 Copperfield Blvd. Phone: 704-786-5122 7508657, 146756 CATAWBA COUNTY Hickory Frye Regional Medical Center 6380470, 157974 420 North Center Street Hickory, NC 28601 Phone: 828-315-5000 / Fax: 828-315-3901 FryeCare 1781 Tate Blvd. Southeast, Suite 101 Hickory, NC 28602 Phone: 828-315-7030, OMR, CT 9659795, 1363008 CLEVELAND COUNTY Kings Mountain Kings Mountain Hospital 6380505, 157986 706 West King Street Kings Mountain, NC 28086 Phone: 704-739-3601 / Fax: 704-739-0800 Shelby Cleveland Regional Medical Center 201 East Grover Street Phone: 704-487-3000, PET 6380765, 2701320 101 Delta Park Drive Phone: 704-484-8007 / Fax: 704-484-0606 7508657, 9012016 GASTON COUNTY Gastonia Gaston Memorial Hospital 6380380, 157944 2525 Court Drive Phone: 704-834-2000 / Fax: 704-834-2500, PET Gaston Radiology, PA 7544922, 2210703 2555 Court Drive Phone: 704-864-5550 / Fax: 704-864-7445 7544922, 4341077 2610 Aberdeen Blvd. Phone: 704-865-5210 / Fax: 704-865-6282 7544922, 3973255 610 Aberdeen Blvd. Phone: 704-865-5210 / Fax: 704-865-6282 7544922, 7493016 620 Summit Crossing Place, Suite 107 Phone: 704-671-7776 / Fax: 704-671-7721 7544922, 4481051 620 Summit Crossing Place, Suite 108 Phone: 704-865-0077 / Fax: 704-867-6401 7544922, 8072989 Caromont Imaging Services 620 Summit Crossing Place, Suite 106 Phone: 704-671-7730 7544922, 377135 631 Cox Road Phone: 704-864-7764 / Fax: 704-867-7894 7544922, 549599 655 Cox Road Phone: 704-834-2050 / Fax: 704-834-2053 Geodax Imaging, LLC 660 Summit Crossing Place Phone: 704-867-0735 / Fax: 704-853-1289 5822620, 6451018 7508657, 4101720 706 Summit Crossing Place Phone: 704-867-2333 7508657, 245968 900 Cox Road Phone: 704-830-1047 / Fax: 704-830-1047 -Gastoni 920 Cox Road, Suite 101 Phone: 704-862-7188 / Fax: 704-862-7197 7456027, 7603714 IREDELL COUNTY Mooresville Gaston Radiology, PA 7544922, 9702768 124 Welton Way Phone: 704-658-1050 / Fax: 704-658-1056 -Mooresv 118 Gateway Blvd., Bldg. 6, Suite E Phone: 704-662-8580 / Fax: 704-662-8846 7456027, 3423838 Statesville Davis Regional Medical Center 218 Old Mocksville Road Statesville, NC 28625 Phone: 704-873-0281 6380800, 850640 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 1 of 3
Aetna "Select Provider" Listing - High-Tech Radiology LINCOLN COUNTY Lincolnton Carolinas Medical Center - Lincoln 6380550, 9833897 433 McAlister Road Lincolnton, NC 28092 Phone: 980-212-2000 MECKLENBURG COUNTY Charlotte 7324542, 272587 1001 Blythe Blvd., Suite 602 Phone: 704-355-5982 7324542, 1402709 Crescent at Ballantyne 15110 John J Delaney Drive, Suite 130 Phone: 704-697-5000 / Fax: 704-697-5001 7324542, 3343411 4525 Cameron Valley Pkwy., Suite 1000-B Phone: 704-362-7076 / Fax: 704-362-7081 Carolinas Medical Center 1000 Blythe Blvd., PET 6380225, 157900 Carolinas Medical Center-Mercy 2001 Vail Avenue Phone: 704-379-5000 6380230, 157901 Carolinas Medical Center-Pineville Phone: 704-543-2025 6381715, 158123 Carolinas Medical Center-University 8800 North Tryon Street 6380250, 2710269 7508657, 2932170 15825 John J. Delaney Drive, Suite 100 Phone: 704-341-5264 / Fax: 704-543-8402 7508657, 552328 1915 Randolph Road Phone: 704-339-1000 7508657, 52050 2001 Randolph Road Phone: 704-323-3751 7508657, 4732580 210 East Arrowhead Drive, Suite W3 Charlotte, NC 28213 Phone: 704-599-2553 / Fax: 704-599-3343 7508657, 5353721 9848 North Tryon Street, Suite 100 Phone: 704-323-2131 Presbyterian Breast Center 1718 East 4th Street Phone: 704-384-4177 Svcs: CT 7910560, 52945 Presbyterian Hospital 200 Hawthorne Lane Phone: 704-384-4000, PET 6380240, 157904 7145276, 3243512 Steele Creek-Diagnostic Center 13557 Steelcroft Pkwy., Suite 1100 Charlotte, NC 28278 Phone: 704-316-2880 7145276, 4342853 14215 Ballantyne Corporate Place Phone: 704-384-1890 7145276, 9931569 7145276, 7284392 Diagnostic Center-Museum 7145276, 5611146 7456027, 1484241 Presbyterian Imaging Ctr-South Park 6324 Fairview Road, Suite 120 A Phone: 704-362-8444 / Fax: 704-362-3557 7456027, 1863749 6324 Fairview Road, Suite 120 A Phone: 704-362-8444 / Fax: 704-362-3557 Presbyterian Medical Plaza 7325538, 5611146 7325538, 3780634, Suite 200 Phone: 704-384-8226 Presbyterian Orthopaedic Hospital 1901 Randolph Road Phone: 704-316-2000 9617616, 157946 Randolph Radiology 1918 Randolph Road Phone: 704-342-8226 Svcs: CT 7865543, 587265 Huntersville 16455 Statesville Road, Suite 110 Phone: 704-895-3445 / Fax: 704-895-4846 7324542, 5852031 10030 Gilead Road, Suite 140 Phone: 704-945-7776 7508657, 3272545 Presbyterian Hospital Huntersville 10030 Gilead Road Phone: 704-316-4000, PET 7385600, 4902127 Matthews Adbel Plaza 1401 Matthews Township Pkwy., Suite 310 Phone: 704-844-9040 / Fax: 704-841-3507 7324542, 9792818 710 Park Center Drive, Suite 200 & 300 Phone: 704-323-3215 7508657, 2574195 Presbyterian Hospital-Matthews 1500 Matthews Township Pkwy. Phone: 704-384-6500, PET 4497126, 395805 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 2 of 3
Aetna "Select Provider" Listing - High-Tech Radiology ROWAN COUNTY Salisbury Rowan Regional Medical Center 6380735, 158057 612 Mocksville Avenue Salisbury, NC 28144 Phone: 704-210-5000, PET UNION COUNTY Indian Trail Union West MRI Center 7747807, 9012626 6030 West Highway 74, Suite C Indian Trail, NC 28079 Phone: 704-246-2989 7747807, 2892828 6030 West Hwy. 74, Suite C Indian Trail, NC 28079 Phone: 704-246-2989 Monroe CMC-Union 600 Hospital Drive Phone: 704-283-3100, PET 6380580, 158011 808 Circle Drive Phone: 704-226-9550 7508657, 221565 Diagnostic Center-Monroe 2000 Wellness Blvd., Suite 1100 Monroe, NC 28110 Phone: 704-316-1180 7145276, 7363382 Note(s): These procedures may require preauthorization. Aetna's radiology management vendors may have more current information that will replace the information contained within this List. Effective January 1, 2012, Aetna requires all providers administering high-tech radiology services to be accredited by the American College of Radiology and/or the Intersocietal Accreditation Commission. Any provider who performs these services but is not accredited at the time of service may not be eligible for payment. Aetna s radiology management vendors will offer alternative accredited providers in accordance with these standards. MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 3 of 3
Aetna "Select Provider" Listing - Low-Tech Radiology NORTH CAROLINA ANSON COUNTY Wadesboro Anson Community Hospital 6380845, 158093 500 Morven Road Wadesboro, NC 28170 Phone: 704-694-5131 BURKE COUNTY Morganton Grace Hospital 6380595, 158015 2201 South Sterling Street Morganton, NC 28655 Phone: 828-580-5000 / Fax: 828-580-5039 Valdese Valdese General Hospital 720 Malcolm Blvd. Valdese, NC 28690 Phone: 828-874-2251 4310462, 193511 CABARRUS COUNTY Concord Carolinas Medical Center - North East 6380270, 1732761 920 Church Street North, Suite 255 Phone: 704-783-3000 354 Copperfield Blvd. Phone: 704-786-5122 7508657, 146756 CATAWBA COUNTY Hickory Frye Regional Medical Center 6380470, 157974 420 North Center Street Hickory, NC 28601 Phone: 828-315-5000 / Fax: 828-315-3901 FryeCare 1781 Tate Blvd. Southeast, Suite 101 Hickory, NC 28602 Phone: 828-315-7030 Svcs: X, US, S, BD, M 9659795, 1363008 CLEVELAND COUNTY Kings Mountain Kings Mountain Hospital 6380505, 157986 706 West King Street Kings Mountain, NC 28086 Phone: 704-739-3601 / Fax: 704-739-0800 Shelby Cleveland Regional Medical Center 201 East Grover Street Phone: 704-487-3000 6380765, 2701320 101 Delta Park Drive Phone: 704-484-8007 / Fax: 704-484-0606 7508657, 9012016 GASTON COUNTY Gastonia Charlotte Radiology Breast Center 4438439, 1763109 530 South New Hope Road, Suite 4 Phone: 704-362-1945 / Fax: 704-770-0501 Gaston Memorial Hospital 2525 Court Drive Phone: 704-834-2000 / Fax: 704-834-2500 6380380, 157944 Gaston Radiology, PA 7544922, 2210703 2555 Court Drive Phone: 704-864-5550 / Fax: 704-864-7445 7544922, 4341077 2610 Aberdeen Blvd. Phone: 704-865-5210 / Fax: 704-865-6282 7544922, 3973255 610 Aberdeen Blvd. Phone: 704-865-5210 / Fax: 704-865-6282 7544922, 8072989 Caromont Imaging Services 620 Summit Crossing Place, Suite 106 Phone: 704-671-7730 7544922, 7493016 620 Summit Crossing Place, Suite 107 Phone: 704-671-7776 / Fax: 704-671-7721 7544922, 4481051 620 Summit Crossing Place, Suite 108 Phone: 704-865-0077 / Fax: 704-867-6401 7544922, 377135 631 Cox Road Phone: 704-864-7764 / Fax: 704-867-7894 7544922, 549599 655 Cox Road Phone: 704-834-2050 / Fax: 704-834-2053 Insight Imaging, LLC 2555 Court Drive, Suite 45 Phone: 704-525-7005 Svcs: US 7297452, 5902944 7508657, 4101720 706 Summit Crossing Place Phone: 704-867-2333 7508657, 245968 900 Cox Road Phone: 704-830-1047 / Fax: 704-830-1047 -Gastoni 920 Cox Road, Suite 101 Phone: 704-862-7188 / Fax: 704-862-7197 7456027, 7603714 IREDELL COUNTY Mooresville Gaston Radiology, PA 7544922, 9702768 124 Welton Way Phone: 704-658-1050 / Fax: 704-658-1056 Lake Norman Regional Medical Center 171 Fairview Road Phone: 704-660-4000 4371483, 5571114 -Mooresv 118 Gateway Blvd., Bldg. 6, Suite E Phone: 704-662-8580 / Fax: 704-662-8846 7456027, 3423838 Statesville Davis Regional Medical Center 218 Old Mocksville Road Statesville, NC 28625 Phone: 704-873-0281 6380800, 850640 Iredell Memorial Hospital 557 Brookdale Drive Statesville, NC 28677 Phone: 704-873-5661 6380805, 479795 LINCOLN COUNTY Lincolnton Carolinas Medical Center - Lincoln 6380550, 9833897 433 McAlister Road Lincolnton, NC 28092 Phone: 980-212-2000 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 1 of 3
Aetna "Select Provider" Listing - Low-Tech Radiology MECKLENBURG COUNTY Charlotte 7324542, 272587 1001 Blythe Blvd., Suite 602 Phone: 704-355-5982 7324542, 1402709 Crescent at Ballantyne 15110 John J Delaney Drive, Suite 130 Phone: 704-697-5000 / Fax: 704-697-5001 7324542, 3343411 4525 Cameron Valley Pkwy., Suite 1000-B Phone: 704-362-7076 / Fax: 704-362-7081 Carolinas Medical Center 1000 Blythe Blvd. 6380225, 157900 Carolinas Medical Center-Mercy 2001 Vail Avenue Phone: 704-379-5000 6380230, 157901 Carolinas Medical Center-Pineville Phone: 704-543-2025 6381715, 158123 Carolinas Medical Center-University 8800 North Tryon Street 6380250, 2710269 Charlotte Radiology Breast Center 10650 Park Road, Suite 208 Phone: 704-362-1945 / Fax: 704-770-0501 Svcs: US, M 4438439, 7994203 Charlotte Radiology Carolinas Medical Center - Pineville 9433116, 158123 Phone: 707-362-1945 / Fax: 704-770-0501 Charlotte Radiology Mobile Breast Center 9282154, 3152753 1025 Morehead Medical Drive, Suite 150 Phone: 704-362-1945 / Fax: 707-770-0501 Insight Imaging, LLC 1901 Roxborough Road, Suite 200 Phone: 800-890-2813 / Fax: 704-525-6250 Svcs: US 7297452, 7302530 7508657, 2932170 15825 John J. Delaney Drive, Suite 100 Phone: 704-341-5264 / Fax: 704-543-8402 7508657, 552328 1915 Randolph Road Phone: 704-339-1000 7508657, 52050 2001 Randolph Road Phone: 704-323-3751 7508657, 4732580 210 East Arrowhead Drive, Suite W3 Charlotte, NC 28213 Phone: 704-599-2553 / Fax: 704-599-3343 7508657, 5353721 9848 North Tryon Street, Suite 100 Phone: 704-323-2131 Presbyterian Breast Center 7910560, 4342853 14215 Ballantyne Corporate Place Phone: 704-384-1890 7910560, 52945 1718 East 4th Street Phone: 704-384-4177 7910560, 9931569 7910560, 5611146 Presbyterian Hospital 200 Hawthorne Lane Phone: 704-384-4000 6380240, 157904 7145276, 3243512 Steele Creek-Diagnostic Center 13557 Steelcroft Pkwy., Suite 1100 Charlotte, NC 28278 Phone: 704-316-2880 7145276, 4342853 14215 Ballantyne Corporate Place Phone: 704-384-1890 7145276, 7284392 Diagnostic Center-Museum 7145276, 9931569 7145276, 5611146 7456027, 1484241 Presbyterian Imaging Ctr-South Park 6324 Fairview Road, Suite 120 A Phone: 704-362-8444 / Fax: 704-362-3557 7456027, 1863749 6324 Fairview Road, Suite 120 A Phone: 704-362-8444 / Fax: 704-362-3557 Presbyterian Medical Plaza 7325538, 5611146 7325538, 3780634, Suite 200 Phone: 704-384-8226 Randolph Radiology 1918 Randolph Road Phone: 704-342-8226 7865543, 587265 Huntersville 16455 Statesville Road, Suite 110 Phone: 704-895-3445 / Fax: 704-895-4846 7324542, 5852031 10030 Gilead Road, Suite 140 Phone: 704-945-7776 7508657, 3272545 Presbyterian Breast Screening at Huntersville 7685616, 6642216 10030 Gilead Road Drive, Suite 310 Phone: 704-384-8734 7685616, 7510815 16630 Northcross Drive Phone: 704-384-4177 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 2 of 3
Aetna "Select Provider" Listing - Low-Tech Radiology Matthews Adbel Plaza 1401 Matthews Township Pkwy., Suite 310 Phone: 704-844-9040 / Fax: 704-841-3507 7324542, 9792818 Charlotte Radiology Breast Center AdBel Medical Plaza 5282497, 4042722 1401 Matthews-Township Pkwy., Suite 310 Phone: 704-362-1945 / Fax: 704-770-0501 710 Park Center Drive, Suite 200 & 300 Phone: 704-323-3215 7508657, 2574195 Presbyterian Hospital-Matthews 1500 Matthews Township Pkwy. Phone: 704-384-6500 4497126, 395805 ROWAN COUNTY Salisbury Rowan Regional Medical Center 6380735, 158057 612 Mocksville Avenue Salisbury, NC 28144 Phone: 704-210-5000 UNION COUNTY Monroe Charlotte Radiology Breast Center 8380975, 1041551 1423 East Franklin Street, Suite 1 Phone: 704-362-1945 / Fax: 704-770-0501 Svcs: US, M CMC-Union 600 Hospital Drive Phone: 704-283-3100 6380580, 158011 808 Circle Drive Phone: 704-226-9550 7508657, 221565 Diagnostic Center-Monroe 2000 Wellness Blvd., Suite 1100 Monroe, NC 28110 Phone: 704-316-1180 7145276, 7363382 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 3 of 3
Aetna "Select Provider" Listing - Ambulatory Surgery NORTH CAROLINA CABARRUS COUNTY Concord Eye Surgery and Laser Clinic, P.A. 8382863, 251585 500 Lake Concord Road Northeast Phone: 704-782-1127 Gateway Ambulatory Surgery Center, LLC 7545827, 3471803 1025 Northeast Gateway Court Phone: 704-920-7020 920 North Church Street 8381475, 193365 CATAWBA COUNTY Hickory Frye Surgery Center 7174714, 3852089 214 18th Street Circle Southeast Hickory, NC 28602 Phone: 828-322-9789 Svcs: GEN, OPT, ORP, UR Gastroenterology Associates, P.A. - Endoscopy Unit 9929166, 7630234 415 North Center Street, Suite 300 Hickory, NC 28601 Phone: 828-328-3300 / Fax: 828-328-3288 CLEVELAND COUNTY Shelby Cleveland Ambulatory Service 5037144, 6570981 1100 North Lafayette Street Phone: 704-482-1331 GASTON COUNTY Gastonia CaroMont Specialty Surgery 4448606, 469004 2511 Court Drive Phone: 704-671-5600 / Fax: 704-671-5650 8381475, 8060976 2525 Court Drive 8381475, 3400795 2525 Court Street / Fax: 704-892-8790 IREDELL COUNTY Mooresville Surgical Center at Lake Norman 7599195, 6802038 131 Medical Park Road, Suite 100 Phone: 704-660-4570 7599195, 9614194 603 North Main Street Mooresville, NC 28115 Phone: 704-660-4570 171 Fairview Road 8381475, 5571114 Statesville Iredell Surgical Center 1720 Davie Avenue Statesville, NC 28677 Phone: 704-871-0081 4476382, 370672 PHC Endoscopy 208 Old Mocksville Road Statesville, NC 28625 Phone: 704-838-8215 / Fax: 704-838-8234 9334299, 4380851 LINCOLN COUNTY Lincolnton 8381475, 8230586 200 Gamble Drive Lincolnton, NC 28092 MECKLENBURG COUNTY Charlotte Carolina Center for Specialty Surgery 7776862, 16099 1822 Brunswick Avenue Phone: 704-831-4400 / Fax: 704-831-4401 Carolina Endoscopy Center-Pineville 10520 Park Road Phone: 704-927-5756 / Fax: 704-927-5757 7264879, 253583 Carolina Endoscopy Center-University 101 W.T. Harris Blvd., Suite 3215 Phone: 704-927-1480 / Fax: 704-927-4286 7579849, 16052 Carolinas Gastroenterology Center- Ballantyne 7760871, 8582802 15110 John J. Delaney Drive, Suite 120 Phone: 704-512-2140 / Fax: 704-442-4667 Carolinas Gastroenterology Center- Medical Center Plaza 7570916, 3541343 1001 Blythe Blvd., Suite 400 Phone: 704-355-4178 Carolinas Surgery Center - Wendover 449 North Wendover Road Phone: 704-442-4670 / Fax: 704-364-4991 7111395, 58851 Charlotte Plastic Surgery Center, PA 2215 Randolph Road Phone: 704-372-6846 / Fax: 704-342-0752 7643695, 52239 Endoscopy Services Centers Charlotte/Billingsley 7968924, 2671440 300 Billingsley Road, Suite 200 Phone: 704-927-6066 / Fax: 704-927-6069 Healthsouth Surgery Center of Charlotte 8381560, 133947 2825 Randolph Road Phone: 704-377-1647 / Fax: 704-358-8267 8381560, 4402681 2825 Randolph Road, 2nd Floor Phone: 704-377-1647 / Fax: 704-358-8267 Midtown Surgical Center 1918 Randolph Road, Suite 740 Phone: 704-384-4920 7137751, 1054071 Presbyterian Same Day Surgery Center 1800 East 4th Street Phone: 704-384-4200 4448603, 365754 Presbyterian Sameday Surgery Center at Ballantyne 9211074, 4342853 14215 Ballantyne Corporate Place Phone: 704-316-2650 Southpark Surgical Center, LLC 6035 Fairview Road, Suite 300 Phone: 704-295-3080 7830518, 3172085 8381475, 8210370 1001 Blythe Blvd., Suite 200 / Fax: 704-892-8790 8381475, 158123 8381475, 7883847 13640 Steele Croft Parkway Charlotte, NC 28278 8381475, 157946 1901 Randolph Road 8381475, 157901 2001 Vail Avenue GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 1 of 2
Aetna "Select Provider" Listing - Ambulatory Surgery 8381475, 4891263 8800 North Tryon Street Davidson 705 Griffith Street, Suite 205 Davidson, NC 28036 / Fax: 704-892-8790 8381475, 2482215 Huntersville Presbyterian Endoscopy Center at Huntersville, LLC 7580892, 5470885 16525 Holly Crest Lane Phone: 704-316-4007 Presbyterian Same Day Surgery Center 10030 Gilead Road, Suite 240 Phone: 704-384-6225 4448603, 9383607 Matthews 1500 Matthews Township Pkwy. Phone: 800-225-5525 8381475, 4861139 ROWAN COUNTY Salisbury Salisbury VAMC 4304469, 186191 1601 Brenner Avenue Salisbury, NC 28144 Phone: 282-298-7911 STANLY COUNTY Albemarle 8381475, 157863 301 Yadkin Street Albemarle, NC 28001 UNION COUNTY Monroe Carolina Endoscopy Center- Monroe 7427910, 5503086 1321 East Sunset Road Phone: 704-261-1220 / Fax: 704-261-1223 Carolina Endoscopy Center-University 1321 East Sunset Drive Phone: 704-261-1220 / Fax: 704-261-1223 7579849, 3111521 Presbyterian Same Day Surgery Center Monroe, LLC 9098180, 4423435 2000 Wellness Blvd., Suite 2100 Monroe, NC 28110 Phone: 704-316-2345 600 Hospital Drive 8381475, 158011 Note(s): Some ambulatory procedures require the physician to notify Aetna prior to performing services (e.g., colonoscopy and other scope procedures). These procedures were not used to determine this listing. GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 2 of 2
Aetna "Select Provider" Listing - Sleep Studies NORTH CAROLINA CABARRUS COUNTY Concord Carolinas Medical Center - North East 6380270, 1732761 920 Church Street North, Suite 255 Phone: 704-783-3000 CATAWBA COUNTY Hickory Frye Regional Medical Center 6380470, 157974 420 North Center Street Hickory, NC 28601 Phone: 828-315-5000 / Fax: 828-315-3901 CLEVELAND COUNTY Kings Mountain Kings Mountain Hospital 6380505, 157986 706 West King Street Kings Mountain, NC 28086 Phone: 704-739-3601 / Fax: 704-739-0800 GASTON COUNTY Gastonia Gaston Memorial Hospital 6380380, 157944 2525 Court Drive Phone: 704-834-2000 / Fax: 704-834-2500 LINCOLN COUNTY Lincolnton Carolinas Medical Center - Lincoln 6380550, 9833897 433 McAlister Road Lincolnton, NC 28092 Phone: 980-212-2000 MECKLENBURG COUNTY Charlotte Carolinas Medical Center 6380225, 157900 1000 Blythe Blvd. Carolinas Medical Center-Mercy 2001 Vail Avenue Phone: 704-379-5000 6380230, 157901 Carolinas Medical Center-Pineville Phone: 704-543-2025 6381715, 158123 Carolinas Medical Center-University 8800 North Tryon Street 6380250, 2710269 Sleepwell, Inc. 10716 Carmel Commons Blvd., Suite 120 Charlotte, NC 28226 Phone: 704-541-4240 / Fax: 704-943-0898 7464732, 139695 Matthews Sleep Success Technology, Inc 3041 Senna Drive, Suite B Phone: 704-849-0841 7793739, 3013168 UNION COUNTY Monroe CMC-Union 6380580, 158011 600 Hospital Drive Phone: 704-283-3100 1 of 1