LIFETEST OF GEORGIA LLC NPI 1255339107

NPI Information

  • NPI: 1255339107
  • Provider Name: LIFETEST OF GEORGIA, LLC
  • Classification: Clinic/Center - 261QR0206X
  • Specialization: Radiology, Mammography
  • Entity Type: Organization
  • :
  • Address: 1140 HAMMOND DR NE
    BUILDING I, STE 9120
    ATLANTA, GA
    ZIP 30328
  • Phone: (770) 730-0119

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NPI Details

LIFETEST OF GEORGIA, LLC is a radiology and mammography clinic center in Atlanta, GA. LIFETEST OF GEORGIA, LLC NPI is 1255339107. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1140 HAMMOND DR NE
BUILDING I, STE 9120
ATLANTA, GA
ZIP 30328-338
Phone: (770) 730-0119
Fax: (770) 730-0114

The provider's authorized official is Lee Gallagher .
The authorized official title is Executive Director and has the following contact phone number (770) 730-0119.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 9/11/2025.

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
1261QR0200XClinic/CenterRadiologyBL02-11466GEORGIANo
2261QR0206XClinic/CenterRadiology, MammographyBL02-11466GEORGIAYes

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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