GRIFFIN IMAGING LLC NPI 1700199940

NPI Information

NPI: 1700199940
Provider Name: GRIFFIN IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 11D2010091

Address:
220 ROCK STREET
GRIFFIN, GA
ZIP 30224
Phone: (770) 229-4660
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GRIFFIN IMAGING, LLC is a radiology clinic center in Griffin, GA. GRIFFIN IMAGING, LLC NPI is 1700199940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

220 ROCK STREET
GRIFFIN, GA
ZIP 30224
Phone: (770) 229-4660
Fax: (770) 229-4632

The provider's authorized official is Traci L Brown .
The authorized official title is Director Of Billing and has the following contact phone number (706) 256-3450.

The CLIA number assigned to this NPI record is 11D2010091 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2010 and was last updated on 6/30/2021.

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	2085R0202X	Radiology	Diagnostic Radiology			No
2	261QR0200X	Clinic/Center	Radiology			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	DR6432	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: 5/5/2024

NPI Synchronization or Removal

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