Organization Active NPI

Nu-Imaging Medical Diagnostic & Therapy

  • Mobile Radiology Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1346542123
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.