Active NPI
East Georgia Regional Medical Center, LLC
Doing business as Statesboro Imaging Center
- Radiology Clinic/Center
- Statesboro, GA
National Provider Identifier
1245135540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- EAST GEORGIA REGIONAL MEDICAL CENTER, LLC
- Doing business as
- Statesboro Imaging Center
- Practice address
- 8 Coach Lee Hill Blvd
Statesboro, GA 30458-4786 - Phone
- (912) 764-5656
- Fax
- (912) 871-2354
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Organization subpart
- Yes
- Parent organization
- EAST GEORGIA REGIONAL MEDICAL CENTER, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Lalor
- Title
- Senior Director
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | Primary |
Addresses
Primary practice location
8 Coach Lee Hill Blvd
Statesboro, GA 30458-4786
Mailing address
1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 786-1000
Other names 1
- Statesboro Imaging Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2009817 | Statesboro Imaging Center, PC | Certificate of waiver | Jul 14, 2028 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1245135540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 FAIR RD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581683",
"telephone_number": "912-786-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 COACH LEE HILL BLVD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584786",
"telephone_number": "912-764-5656",
"fax_number": "912-871-2354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST GEORGIA REGIONAL MEDICAL CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EAST GEORGIA REGIONAL MEDICAL CENTER, LLC",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "SENIOR DIRECTOR",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Statesboro Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Statesboro, GA
- East Georgia Oral & Maxillofacial Surgery Center
- East Georgia Orthopedic Center, PC.
- East Georgia Pediatrics
- East Georgia Radiology LLC
- East Georgia Regional Medical Center, LLC
- East Georgia Regional Medical Center, LLC
- East Georgia Urgent Care
- East Georgia Urologic Clinic, PC
- East Georgia Womens Center
- Hillary J Edenfield, LAPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.