SOUTHERN MOLECULAR IMAGING LLC NPI 1356584924

NPI Information

  • NPI: 1356584924
  • Provider Name: SOUTHERN MOLECULAR IMAGING, LLC
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Organization
  • Address: 2001 PROFESSIONAL PKWY
    SUITE 160
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (912) 856-4032

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NPI Details

SOUTHERN MOLECULAR IMAGING, LLC is a body imaging radiology in Woodstock, GA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. SOUTHERN MOLECULAR IMAGING, LLC NPI is 1356584924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 PROFESSIONAL PKWY
SUITE 160
WOODSTOCK, GA
ZIP 30188-444
Phone: (912) 856-4032

The provider's authorized official is William C Lavely .
The authorized official title is Owner and has the following contact phone number (912) 856-4032.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 5/23/2012.

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
12085B0100XRadiologyBody ImagingYes

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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