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AMERICAN HEALTH IMAGING OF GEORGIA LLC NPI 1790113082


NPI Information

NPI: 1790113082
Provider Name: AMERICAN HEALTH IMAGING OF GEORGIA LLC

Doing Business As: AMERICAN HEALTH IMAGING OF AUGUSTA LLC

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 11D2076556

Address:
3152 PERIMETER PKWY UNIT B
AUGUSTA, GA
ZIP 30909
Phone: (706) 364-2603
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AMERICAN HEALTH IMAGING OF GEORGIA LLC is a radiology clinic center in Augusta, GA. AMERICAN HEALTH IMAGING OF GEORGIA LLC NPI is 1790113082. The provider is registered as an organization entity type.
The provider Is Doing Business As American Health Imaging Of Augusta Llc.

The provider's business location address is:

3152 PERIMETER PKWY UNIT B
AUGUSTA, GA
ZIP 30909-583
Phone: (706) 364-2603
Fax: (706) 364-2606

The provider's authorized official is Katrina Roelle .
The authorized official title is Director Of Credentialing and has the following contact phone number (614) 689-1691.

The CLIA number assigned to this NPI record is 11D2076556 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 3/29/2024.


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
1261QR0200XClinic/CenterRadiologyLCB20060033745GEORGIAYes

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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