PET IMAGING CENTER OF GWINNETT LLC NPI 1750699005

NPI Information

NPI: 1750699005
Provider Name: PET IMAGING CENTER OF GWINNETT LLC

Doing Business As: TRIDENT MEDICAL IMAGING- GWINNETT

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

Specialization: Radiology

Address:
555 OLD NORCROSS RD
115
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 277-0501
Get Directions

PET IMAGING CENTER OF GWINNETT LLC is a radiology clinic center in Lawrenceville, GA. PET IMAGING CENTER OF GWINNETT LLC NPI is 1750699005. The provider is registered as an organization entity type.
The provider Is Doing Business As Trident Medical Imaging- Gwinnett.

The provider's business location address is:

555 OLD NORCROSS RD
115
LAWRENCEVILLE, GA
ZIP 30046-716
Phone: (770) 277-0501
Fax: (770) 277-4324

The provider's authorized official is Crystal Gates .
The authorized official title is Director Of Patient Accounts and has the following contact phone number (770) 692-1387.

The enumeration date for this NPI number is 9/21/2010 and was last updated on 9/21/2010.

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

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »