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RADIOLOGY CENTERS OF GEORGIA LLC NPI 1942251483


NPI Information

NPI: 1942251483
Provider Name: RADIOLOGY CENTERS OF GEORGIA, LLC

Doing Business As: MARIETTA IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
780 CANTON RD NE
SUITE 230
MARIETTA, GA
ZIP 30060
Phone: (770) 792-1234
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RADIOLOGY CENTERS OF GEORGIA, LLC is a diagnostic radiology radiology in Marietta, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY CENTERS OF GEORGIA, LLC NPI is 1942251483. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Marietta Imaging Center.

The provider's business location address is:

780 CANTON RD NE
SUITE 230
MARIETTA, GA
ZIP 30060-241
Phone: (770) 792-1234
Fax: (770) 607-0789

The provider's authorized official is Brenda Elaine Rakestraw .
The authorized official title is Practice Manager and has the following contact phone number (770) 607-7339.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 10/27/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional Radiology057821GEORGIANo
22085B0100XRadiologyBody Imaging056198GEORGIANo
32085B0100XRadiologyBody Imaging057533GEORGIANo
42085N0700XRadiologyNeuroradiology049409GEORGIANo
52085R0202XRadiologyDiagnostic Radiology031215GEORGIANo
62085R0202XRadiologyDiagnostic Radiology049389GEORGIANo
72085R0202XRadiologyDiagnostic Radiology049409GEORGIANo
82085R0202XRadiologyDiagnostic Radiology056198GEORGIANo
92085R0202XRadiologyDiagnostic Radiology057533GEORGIANo
102085R0202XRadiologyDiagnostic Radiology052264GEORGIANo
112085R0202XRadiologyDiagnostic Radiology057821GEORGIANo
122085R0202XRadiologyDiagnostic Radiology053685GEORGIANo
132085R0202XRadiologyDiagnostic Radiology057590GEORGIANo
142085R0204XRadiologyVascular & Interventional Radiology049389GEORGIANo
152085R0202XRadiologyDiagnostic Radiology032167GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147BBBGFMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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

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