NPI 1023878634
Organization Active NPI Radiology Clinic/Center · Macon, GA
NPI 1023878634 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1023878634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Practice address
- 555 1St St
Macon, GA 31201-2825 - Phone
- (478) 744-9603
- Fax
- (478) 744-9552
- NPI assigned
- Mar 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Iyabo Muraina
- Title
- Business Manager
- Phone
- (478) 744-9603
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Atlantic Diagnostic Center Limited
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
555 1St St
Macon, GA 31201-2825
Mailing address
PO Box 4645
Macon, GA 31208-4645
Phone (478) 744-9603
Other providers in Macon, GA
- NPI 1306790118
- 1St Source Healthcare
- 24 Seven Accessible Care LLC
- 2Ormoredirection, LLC.
- 315 Internal Medicine LLC
All providers in Macon, GA · Radiology Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.