Georgia Radiology Services, LLC
Radiology, Diagnostic Radiology in Lagrange, GA. Organization (NPI-2).
NPI number1124256540
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1124256540
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Radiology Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2009
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
1514 Vernon RdLagrange, GA 30240-4131
Phone 706-882-1411
Mailing address
Po Box 22971Belfast, ME 04915-4480
Phone 770-874-5400
Authorized official
Kim H Larsen
Director Of Credentialing
7708745400
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