Southern Molecular Imaging, LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

SOUTHERN MOLECULAR IMAGING, LLC

Practice address

2001 Professional Pkwy
Suite 160
Woodstock, GA 30188-6444

Phone

(912) 856-4032

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William C Lavely, M.D.

Title

Owner

Phone

(912) 856-4032

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett Graham Ward, M.D.

  • Body Imaging Physician
  • Orange, CA
  • NPI 1235191966
  NPD (past)

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1356584924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PROFESSIONAL PKWY",
            "address_2": "SUITE 160",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PROFESSIONAL PKWY",
            "address_2": "SUITE 160",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886444",
            "telephone_number": "912-856-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MOLECULAR IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "LAVELY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-856-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Body Imaging Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Body Imaging Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.