Organization · NPI-2

3d Imaging Csra, LLC

Clinic/Center, Radiology, Mobile · Evans, GA

NPI number1356572796
StatusActive
Last updated in NPPESAug 3, 2009

Details

NPI
1356572796
Entity type
Organization (NPI-2)
Legal business name
3d Imaging Csra, LLC
Organization subpart
No
Enumeration date
Aug 3, 2009
Last updated
Aug 3, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0208X Clinic/Center, Radiology, Mobile31122008GAYes

Practice location

584 Blue Ridge Dr
Evans, GA 30809-3604

Phone 706-589-6556

Mailing address

584 Blue Ridge Dr
Evans, GA 30809-3604

Phone 706-589-6556

Authorized official

Lisa T Dunn
Owner/Operator
7065896556

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