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NORTHWEST DIAGNOSTIC IMAGING INC NPI 1821079336


NPI Information

NPI: 1821079336
Provider Name: NORTHWEST DIAGNOSTIC IMAGING, INC

Doing Business As: WOODSTOCK DIAGNOSTIC IMAGING, LLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
300 PARKBROOKE PL
SUITE 170
WOODSTOCK, GA
ZIP 30189
Phone: (678) 494-2345
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NORTHWEST DIAGNOSTIC IMAGING, INC is a diagnostic radiology radiology in Woodstock, 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 1821079336. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Woodstock Diagnostic Imaging, Llc.

The provider's business location address is:

300 PARKBROOKE PL
SUITE 170
WOODSTOCK, GA
ZIP 30189-209
Phone: (678) 494-2345

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 11/10/2005 and was last updated on 5/28/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========014OTHERGEORGIATRICARE
2=========020OTHERGEORGIABCBS GEORGIA
3=========015OTHERGEORGIAUNITED HEALTHCARE
4226870800OTHERGEORGIAUS DEPT OF LABOR
5CA0798OTHERGEORGIARAILROAD MEDICARE
6CH7800OTHERGEORGIARAILROAD MEDICARE
7202G475983MEDICARE PINGEORGIA
8DA0357OTHERGEORGIARAILROAD MEDICARE
9=========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: 5/5/2024

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