LIFETEST OF GEORGIA LLC NPI 1255339107

NPI Information

NPI: 1255339107
Provider Name: LIFETEST OF GEORGIA, LLC

Doing Business As: LIFETEST IMAGING CENTER

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

Specialization: Radiology

Address:
1140 HAMMOND DR NE
BUILDING I, STE 9120
ATLANTA, GA
ZIP 30328
Phone: (770) 730-0119
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LIFETEST OF GEORGIA, LLC is a radiology clinic center in Atlanta, GA. LIFETEST OF GEORGIA, LLC NPI is 1255339107. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetest Imaging Center.

The provider's business location address is:

1140 HAMMOND DR NE
BUILDING I, STE 9120
ATLANTA, GA
ZIP 30328-338
Phone: (770) 730-0119
Fax: (770) 730-0114

The provider's authorized official is Lee Gallagher .
The authorized official title is Executive Director and has the following contact phone number (770) 730-0119.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 8/22/2020.

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	BL02-11466	GEORGIA	Yes
2	261QR0206X	Clinic/Center	Radiology, Mammography	BL02-11466	GEORGIA	X

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

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