3D IMAGING CSRA LLC NPI 1356572796

NPI Information

NPI: 1356572796
Provider Name: 3D IMAGING CSRA, LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
584 BLUE RIDGE DR
EVANS, GA
ZIP 30809
Phone: (706) 589-6556
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3D IMAGING CSRA, LLC is a radiology and mobile clinic center in Evans, GA. 3D IMAGING CSRA, LLC NPI is 1356572796. The provider is registered as an organization entity type.

The provider's business location address is:

584 BLUE RIDGE DR
EVANS, GA
ZIP 30809-604
Phone: (706) 589-6556

The provider's authorized official is Lisa T Dunn .
The authorized official title is Owner/operator and has the following contact phone number (706) 589-6556.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 8/3/2009.

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
1	261QR0208X	Clinic/Center	Radiology, Mobile	31122008	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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