PHYSICIAN DIAGNOSTIC SERVICES LLC NPI 1871592501

NPI Information

  • NPI: 1871592501
  • Provider Name: PHYSICIAN DIAGNOSTIC SERVICES LLC
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Doing Business As: PDSHEART
  • Address: 2425 WALL ST SE
    CONYERS, GA
    ZIP 30013
  • Phone: (678) 487-1266

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NPI Details

PHYSICIAN DIAGNOSTIC SERVICES LLC is a physiological laboratory in Conyers, GA. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. PHYSICIAN DIAGNOSTIC SERVICES LLC NPI is 1871592501. The provider is registered as an organization entity type.
The provider Is Doing Business As Pdsheart.

The provider's business location address is:

2425 WALL ST SE
CONYERS, GA
ZIP 30013-342
Phone: (678) 487-1266
Fax: (240) 371-8541

The provider's authorized official is Angela Marie Nauful .
The authorized official title is Vice President, Accounts Receivable and has the following contact phone number (678) 487-1266.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 4/29/2008.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2293D00000XPhysiological LaboratoryYes

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
1X52212MEDICARE UPINGEORGIA
247BBBDGMEDICARE ID-TYPE UNSPECIFIEDGEORGIAIDTF
3019144200MEDICAIDMINNESOTA
4470001486MEDICARE PINFLORIDA
5470000859MEDICARE PINGEORGIA
65216680001MEDICARE NSCFLORIDA
7E6576MEDICARE ID-TYPE UNSPECIFIEDFLORIDAIDTF

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: 3/30/2025

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