Organization Active NPI

State of the Art Imaging

  • Mobile Radiology Clinic/Center
  • Snellville, GA
National Provider Identifier
1295038180
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
331540 Issued in GA
Legal business name
STATE OF THE ART IMAGING
Practice address
3586 Killarney TRL
Snellville, GA 30039-5964
Phone
(678) 630-7947
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Mr. Donald James Minott, RADIOLOGICAL TECH
Title
Director of Operations
Phone
(770) 896-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 331540 GA Primary

Addresses

Primary practice location

3586 Killarney TRL
Snellville, GA 30039-5964

Mailing address

3586 Killarney TRL
Snellville, GA 30039-5964
Phone (678) 630-7947

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1295038180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 KILLARNEY TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395964",
            "telephone_number": "678-630-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 KILLARNEY TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395964",
            "telephone_number": "678-630-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF THE ART IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "MINOTT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "770-896-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RADIOLOGICAL TECH"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "GA",
            "license": "331540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.