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PET IMAGING CENTER OF SAVANNAH LLC NPI 1750376208


NPI Information

NPI: 1750376208
Provider Name: PET IMAGING CENTER OF SAVANNAH LLC

Doing Business As: TRIDENT PET OF SAVANNAH

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
617 STEPHENSON AVE
STE 101
SAVANNAH, GA
ZIP 31405
Phone: (912) 355-7523
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PET IMAGING CENTER OF SAVANNAH LLC is a body imaging radiology in Savannah, GA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. PET IMAGING CENTER OF SAVANNAH LLC NPI is 1750376208. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Trident Pet Of Savannah.

The provider's business location address is:

617 STEPHENSON AVE
STE 101
SAVANNAH, GA
ZIP 31405-838
Phone: (912) 355-7523
Fax: (912) 355-7526

The provider's authorized official is Guy A Messer .
The authorized official title is Ceo and has the following contact phone number (770) 692-1387.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 12/9/2015.


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
12085B0100XRadiologyBody ImagingYes

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
1617511716BMEDICAIDGEORGIA
247BBBKPMEDICARE ID-TYPE UNSPECIFIED

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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