Amscan Radiology Associates, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

AMSCAN RADIOLOGY ASSOCIATES, LLC

Practice address

576 Sigman Rd NE
500
Conyers, GA 30013-1326

Phone

(678) 509-0121

Fax

(678) 509-0163

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Brooke Kanupke

Title

Manager

Phone

(678) 509-0121

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003869595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 SIGMAN RD NE",
            "address_2": "500",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131326",
            "telephone_number": "678-509-0121",
            "fax_number": "678-509-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 SIGMAN RD NE",
            "address_2": "500",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131326",
            "telephone_number": "678-509-0121",
            "fax_number": "678-509-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSCAN RADIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANUPKE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-509-0121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Conyers, GA
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.