Imaging Centers of Georgia, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

IMAGING CENTERS OF GEORGIA, INC.

Practice address

108 Olympia Dr
Suite 101
Warner Robins, GA 31093

Phone

(478) 302-5270

Fax

(478) 302-5280

NPI assigned

Nov 23, 2010

Organization subpart

Yes

Parent organization

CHARLTON HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Norman W. King

Title

President/Ceo

Phone

(478) 302-5270

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1093017006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OLYMPIA DR",
            "address_2": "SUITE 101",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933682",
            "telephone_number": "478-302-5270",
            "fax_number": "478-302-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLYMPIA DR",
            "address_2": "SUITE 101",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "478-302-5270",
            "fax_number": "478-302-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTERS OF GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLTON HEALTHCARE CORPORATION",
        "enumeration_date": "2010-11-23",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "478-302-5270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Mobile Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.