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NORTHWEST DIAGNOSTIC IMAGING INC NPI 1609857317


NPI Information

NPI: 1609857317
Provider Name: NORTHWEST DIAGNOSTIC IMAGING, INC

Doing Business As: OPEN MRI & IMAGING OF MACON, LLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2140 RIVERSIDE DR
MACON, GA
ZIP 31204
Phone: (478) 745-2777
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NORTHWEST DIAGNOSTIC IMAGING, INC is a diagnostic radiology radiology in Macon, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHWEST DIAGNOSTIC IMAGING, INC NPI is 1609857317. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Open Mri & Imaging Of Macon, Llc.

The provider's business location address is:

2140 RIVERSIDE DR
MACON, GA
ZIP 31204-747
Phone: (478) 745-2777
Fax: (478) 745-2003

The provider's authorized official is Daniel J Schaefer .
The authorized official title is Coo and has the following contact phone number (770) 300-0101.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 9/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyGEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========041OTHERGEORGIAUHC
2CH7801OTHERGEORGIARAILROAD MEDICARE
3=========016OTHERGEORGIABLUE CROSS GEORGIA
4202G475980MEDICARE PINGEORGIA
5=========015OTHERGEORGIATRICARE
6DA0357OTHERGEORGIARAILROAD MEDICARE
7CA0798OTHERGEORGIARAILROAD MEDICARE
8=========AMEDICARE PINGEORGIA

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

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