Organization Active NPI

Reed Imaging Services, LLC

  • Radiology Clinic/Center
  • Cartersville, GA
National Provider Identifier
1336249903
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
PENDING Issued in GA
Legal business name
REED IMAGING SERVICES, LLC
Practice address
15 Medical Dr NE
Suite 102
Cartersville, GA 30121-8003
Phone
(770) 386-4347
Fax
(770) 386-4347
NPI assigned
Sep 24, 2006
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Michael D. Reed, M.D.NPI 1902990427
Title
LLC Manager
Phone
(770) 386-4347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

15 Medical Dr NE
Suite 102
Cartersville, GA 30121-8003

Mailing address

PO Box 200036
98 Dean Rd., S.E.
Cartersville, GA 30120-9001
Phone (770) 386-4347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061208000315 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2961401567 Receives reassigned benefits from 1 practitioner
Practice locations: Cartersville, GA

National Provider Directory

National Provider Directory

Locations

15 Medical Dr NE
Ste 102
Cartersville, GA 30121
Phone (678) 605-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1336249903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200036",
            "address_2": "98 DEAN RD., S.E.",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301209001",
            "telephone_number": "770-386-4347",
            "fax_number": "770-386-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE",
            "address_2": "SUITE 102",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218003",
            "telephone_number": "770-386-4347",
            "fax_number": "770-386-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "770-386-4347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.