DCA DIAGNOSTICS LLC NPI 1578536686

NPI Information

NPI: 1578536686
Provider Name: DCA DIAGNOSTICS, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D1043610

Address:
880 CRESTMARK DR
SUITE 102
LITHIA SPRINGS, GA
ZIP 30122
Phone: (678) 388-2040
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DCA DIAGNOSTICS, LLC is an ambulatory surgical clinic center in Lithia Springs, GA. DCA DIAGNOSTICS, LLC NPI is 1578536686. The provider is registered as an organization entity type.

The provider's business location address is:

880 CRESTMARK DR
SUITE 102
LITHIA SPRINGS, GA
ZIP 30122-646
Phone: (678) 388-2040
Fax: (678) 388-2031

The provider's authorized official is David Finkelman .
The authorized official title is Medical Director and has the following contact phone number (678) 388-2040.

The CLIA number assigned to this NPI record is 11D1043610 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 8/22/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	048324	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: 4/28/2024

NPI Synchronization or Removal

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