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MRI & IMAGING OF GEORGIA LLC NPI 1003295403


NPI Information

NPI: 1003295403
Provider Name: MRI & IMAGING OF GEORGIA, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 11D1056956

Address:
845 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 549-1118
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MRI & IMAGING OF GEORGIA, LLC is a radiology clinic center in Athens, GA. MRI & IMAGING OF GEORGIA, LLC NPI is 1003295403. The provider is registered as an organization entity type.

The provider's business location address is:

845 PRINCE AVE
ATHENS, GA
ZIP 30606-723
Phone: (706) 549-1118

The provider's authorized official is Jorge J. Hernandez .
The authorized official title is Vp-admin, Cco and has the following contact phone number (404) 851-6378.

The CLIA number assigned to this NPI record is 11D1056956 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2015 and was last updated on 3/13/2019.


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
1261QR0200XClinic/CenterRadiologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.