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PRI X-RAY L.L.C. NPI 1598747628


NPI Information

NPI: 1598747628
Provider Name: PRI X-RAY, L.L.C.
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
3620 MCGINNIS PARK DR
SUITE #1
SUWANEE, GA
ZIP 30024
Phone: (770) 932-8599
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PRI X-RAY, L.L.C. is a portable x ray and or other portable diagnostic imaging supplier in Suwanee, GA. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PRI X-RAY, L.L.C. NPI is 1598747628. The provider is registered as an organization entity type.

The provider's business location address is:

3620 MCGINNIS PARK DR
SUITE #1
SUWANEE, GA
ZIP 30024-136
Phone: (770) 932-8599
Fax: (770) 614-8048

The provider's authorized official is Allen Trader .
The authorized official title is Manager and has the following contact phone number (770) 932-8599.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 4/27/2011.


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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierGEORGIAYes

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
163KCBBZMEDICARE PINGEORGIA
200803822AMEDICAIDGEORGIA
3630001384OTHERRAILROAD MEDICARE
4630001384MEDICARE PINGEORGIA
5X31297MEDICARE UPINGEORGIA

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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