Organization Active NPI

Diagnostic Health Corportation

  • Physiological Laboratory
  • Augusta, GA
National Provider Identifier
1023066313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
DIAGNOSTIC HEALTH CORPORTATION
Doing business as
Healthsouth Diagnostic Center of Augusta
Practice address
2102 Central Ave
Augusta, GA 30904-6704
Phone
(706) 733-0551
Fax
(706) 733-1343
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna L Burch
Title
Credentialing Specialist
Phone
(205) 685-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2102 Central Ave
Augusta, GA 30904-6704

Mailing address

2102 Central Ave
Augusta, GA 30904-6704
Phone (706) 733-0551

Other names 1

  • Healthsouth Diagnostic Center of Augusta Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023066313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046704",
            "telephone_number": "706-733-0551",
            "fax_number": "706-733-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046704",
            "telephone_number": "706-733-0551",
            "fax_number": "706-733-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC HEALTH CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-685-5075"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsouth Diagnostic Center of Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • 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.