SO VEIN DIAGNOSTICS LLC NPI 1164128997

NPI Information

  • NPI: 1164128997
  • Provider Name: SO VEIN DIAGNOSTICS LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 6045 CREEKFORD DR
    LITHONIA, GA
    ZIP 30058
  • Phone: (404) 965-0775

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NPI Details

SO VEIN DIAGNOSTICS LLC is a health service clinic center in Lithonia, GA. SO VEIN DIAGNOSTICS LLC NPI is 1164128997. The provider is registered as an organization entity type.

The provider's business location address is:

6045 CREEKFORD DR
LITHONIA, GA
ZIP 30058-960
Phone: (404) 965-0775

The provider's authorized official is Markia Maddox .
The authorized official title is Director Of Laboratory and has the following contact phone number (404) 965-0775.

The enumeration date for this NPI number is 2/2/2023 and was last updated on 3/26/2024.

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
1261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

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