MED CROSS IMAGING LLC NPI 1295780518

NPI Information

  • NPI: 1295780518
  • Provider Name: MED CROSS IMAGING LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 842 PROFESSIONAL CENTER DR
    EASTMAN, GA
    ZIP 31023
  • Phone: (478) 374-4305

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NPI Details

MED CROSS IMAGING LLC is a specialist in Eastman, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MED CROSS IMAGING LLC NPI is 1295780518. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

842 PROFESSIONAL CENTER DR
EASTMAN, GA
ZIP 31023-734
Phone: (478) 374-4305
Fax: (478) 374-1366

The provider's authorized official is Vicki Rotundo .
The authorized official title is Office Manager and has the following contact phone number (478) 374-4305.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 12/31/2014.

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
1174400000XSpecialist049913GEORGIAYes

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
100184214AMEDICAIDGEORGIA
2GRP 1184OTHERGEORGIAMEDICARE GROUP #
3H41038MEDICARE UPINGEORGIA
430BDJXRMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
5065362393BMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
6E59166MEDICARE UPINGEORGIA
700909466BMEDICAIDGEORGIA

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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