THE IMAGING CENTER NPI 1962510958

NPI Information

NPI: 1962510958
Provider Name: THE IMAGING CENTER
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
818 ST. SEBASTIAN WAY
SUITE 100
AUGUSTA, GA
ZIP 30901
Phone: (706) 722-3574
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THE IMAGING CENTER is a radiology clinic center in Augusta, GA. THE IMAGING CENTER NPI is 1962510958. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

818 ST. SEBASTIAN WAY
SUITE 100
AUGUSTA, GA
ZIP 30901
Phone: (706) 722-3574
Fax: (706) 731-5289

The provider's authorized official is Huey G. Bullock .
The authorized official title is Md/partner/medical Director and has the following contact phone number (706) 737-4575.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 8/19/2009.

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
1	2085D0003X	Radiology	Diagnostic Neuroimaging			No
2	2085B0100X	Radiology	Body Imaging			No
3	2085N0700X	Radiology	Neuroradiology			No
4	2085N0904X	Radiology	Nuclear Radiology			No
5	2085P0229X	Radiology	Pediatric Radiology			No
6	2085U0001X	Radiology	Diagnostic Ultrasound			No
7	261QR0206X	Clinic/Center	Radiology, Mammography			No
8	2085R0202X	Radiology	Diagnostic Radiology	014725	GEORGIA	No
9	261QR0200X	Clinic/Center	Radiology			Yes

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	1418019	OTHER		UNITED MINE WORKERS
2	16-00225	OTHER		UNITED HEALTHCARE
3	SL0006	MEDICAID	SOUTH CAROLINA
4	1033173067	OTHER		NPI - HUEY G. BULLOCK
5	47BBBDL	MEDICARE PIN	GEORGIA
6	156858201	OTHER		FEDERAL BLACK LUNG
7	1023072147	OTHER		NPI - JIMPSEY B. JOHNSON
8	00015804C	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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