NPIMap

Organization Active NPI

Diagnostic Imaging Services

Doing business as OMI Diagnostics

  • Radiology Clinic/Center
  • Douglasville, GA
National Provider Identifier
1083628523
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
0603636 Issued in GA
Legal business name
DIAGNOSTIC IMAGING SERVICES
Doing business as
OMI Diagnostics
Practice address
4586 Timber Ridge Parkway
Suite 100
Douglasville, GA 30134
Phone
(770) 489-4600
Fax
(770) 489-4645
NPI assigned
Jul 28, 2006
Organization subpart
Yes
Parent organization
DIAGNOSTIC IMAGING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Ms. Syvita Thompson
Title
Billing Manager
Phone
(678) 802-1464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 0603636 GA Primary

Addresses

Primary practice location

4586 Timber Ridge Parkway
Suite 100
Douglasville, GA 30134

Mailing address

P.O. Box 421548
Atlanta, GA 30342
Phone (770) 489-4600

Other names 1

  • OMI Diagnostics Doing business as

National Provider Directory

National Provider Directory
Part of
Diagnostic Imaging Serv

Locations

4586 Timber Ridge Dr
Ste 100
Douglasville, GA 30135
Phone (770) 489-4600

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1083628523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 421548",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "770-489-4600",
            "fax_number": "770-489-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586 TIMBER RIDGE PARKWAY",
            "address_2": "SUITE 100",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-489-4600",
            "fax_number": "770-489-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC IMAGING SERVICES",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SYVITA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-802-1464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "0603636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMI Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.