GEORGIA HEALTH IMAGING LLC NPI 1336386770

NPI Information

NPI: 1336386770
Provider Name: GEORGIA HEALTH IMAGING, LLC

Former Legal Business Name: PROGRESSIVE HEALTH, LLC

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3653 LAWRENCEVILLE HWY
SUITE 150
LAWRENCEVILLE, GA
ZIP 30044
Phone: (678) 924-0964
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GEORGIA HEALTH IMAGING, LLC is a radiology clinic center in Lawrenceville, GA. GEORGIA HEALTH IMAGING, LLC NPI is 1336386770. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Progressive Health, Llc.

The provider's business location address is:

3653 LAWRENCEVILLE HWY
SUITE 150
LAWRENCEVILLE, GA
ZIP 30044-107
Phone: (678) 924-0964
Fax: (678) 924-0965

The provider's authorized official is Yasmin K Budhwani .
The authorized official title is Administrator and has the following contact phone number (678) 924-0964.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 1/7/2009.

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	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	GRP8122	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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