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NORTHWEST DIAGNOSTIC IMAGING INC NPI 1760463509


NPI Information

NPI: 1760463509
Provider Name: NORTHWEST DIAGNOSTIC IMAGING, INC

Doing Business As: OPEN MRI & IMAGING OF NE GEORGIA, LLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
425 BROAD ST SE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 718-9776
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NORTHWEST DIAGNOSTIC IMAGING, INC is a diagnostic radiology radiology in Gainesville, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHWEST DIAGNOSTIC IMAGING, INC NPI is 1760463509. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Open Mri & Imaging Of Ne Georgia, Llc.

The provider's business location address is:

425 BROAD ST SE
GAINESVILLE, GA
ZIP 30501-712
Phone: (770) 718-9776
Fax: (770) 718-1910

The provider's authorized official is Daniel J Schaefer .
The authorized official title is Coo and has the following contact phone number (770) 300-0101.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 9/2/2010.


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
12085R0202XRadiologyDiagnostic RadiologyGEORGIAYes

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
1226870810OTHERGEORGIAUS DEPARTMENT OF LABOR
2DA0357OTHERGEORGIARAILROAD MEDICARE
3202G476321MEDICARE PINGEORGIA
4=========002OTHERGEORGIATRICARE
5=========040OTHERGEORGIAUHC
6CH7801OTHERGEORGIARAILROAD MEDICARE
7CA0798OTHERGEORGIARAILROAD MEDICARE
8=========013OTHERGEORGIABLUE CROSS GEORGIA
9=========AMEDICARE PINGEORGIA

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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