OUTPATIENT IMAGING LLC NPI 1053386219

NPI Information

NPI: 1053386219
Provider Name: OUTPATIENT IMAGING, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 11D1103715

Address:
10 EASTBROOK BND
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 301-4674
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OUTPATIENT IMAGING, LLC is a diagnostic radiology radiology in Peachtree City, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OUTPATIENT IMAGING, LLC NPI is 1053386219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 EASTBROOK BND
PEACHTREE CITY, GA
ZIP 30269-545
Phone: (770) 301-4674
Fax: (770) 305-4682

The provider's authorized official is Ho Nien Lin .
The authorized official title is President and has the following contact phone number (770) 305-4674.

The CLIA number assigned to this NPI record is 11D1103715 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 4/5/2017.

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	2085R0202X	Radiology	Diagnostic 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	GRP4982	MEDICARE ID-TYPE UNSPECIFIED	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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