Active NPI
Nu-Imaging Medical Diagnostic & Therapy
- Mobile Radiology Clinic/Center
- Fayetteville, GA
National Provider Identifier
1346542123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- NU-IMAGING MEDICAL DIAGNOSTIC & THERAPY
- Practice address
- 839 New Hope Rd
Fayetteville, GA 30214-3760 - Phone
- (678) 471-6073
- Fax
- (770) 964-1105
- NPI assigned
- Nov 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shashikant A. Daya, M.D.
- Title
- Ceo
- Phone
- (678) 471-6073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | GA | Primary |
Addresses
Primary practice location
839 New Hope Rd
Fayetteville, GA 30214-3760
Mailing address
839 New Hope Rd
Fayetteville, GA 30214-3760
Phone (678) 471-6073
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1346542123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 NEW HOPE RD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143760",
"telephone_number": "678-471-6073",
"fax_number": "770-964-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 NEW HOPE RD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143760",
"telephone_number": "678-471-6073",
"fax_number": "770-964-1105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU-IMAGING MEDICAL DIAGNOSTIC & THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DAYA",
"authorized_official_first_name": "SHASHIKANT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-471-6073",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.