OUTPATIENT IMAGING SERVICES LLC NPI 1558691477

NPI Information

NPI: 1558691477
Provider Name: OUTPATIENT IMAGING SERVICES LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
101 SAINT JOSEPHS CANDLER DR
POOLER, GA
ZIP 31322
Phone: (912) 356-9222
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OUTPATIENT IMAGING SERVICES LLC is a diagnostic radiology radiology in Pooler, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OUTPATIENT IMAGING SERVICES LLC NPI is 1558691477. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

101 SAINT JOSEPHS CANDLER DR
POOLER, GA
ZIP 31322-584
Phone: (912) 356-9222
Fax: (912) 356-1080

The provider's authorized official is Carlos A Rivera .
The authorized official title is President and has the following contact phone number (912) 352-2606.

The enumeration date for this NPI number is 12/29/2009 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	035851	GEORGIA	No
2	2085D0003X	Radiology	Diagnostic Neuroimaging	035851	GEORGIA	No
3	2085N0700X	Radiology	Neuroradiology	035851	GEORGIA	No
4	2085N0904X	Radiology	Nuclear Radiology	035851	GEORGIA	No
5	2085U0001X	Radiology	Diagnostic Ultrasound	035851	GEORGIA	No
6	2085R0203X	Radiology	Therapeutic Radiology	035851	GEORGIA	No
7	2085P0229X	Radiology	Pediatric Radiology	035851	GEORGIA	No
8	2085R0204X	Radiology	Vascular & Interventional Radiology	035851	GEORGIA	No
9	2085R0202X	Radiology	Diagnostic Radiology	035851	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	595704108	MEDICAID	GEORGIA
2	DQ2575	OTHER	GEORGIA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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