Georgia Diagnostics Services

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

56829 Issued in GA

Legal business name

GEORGIA DIAGNOSTICS SERVICES

Practice address

301 Yamato Rd
Suite 1100
Boca Raton, FL 33431-4917

Phone

(855) 200-8262

Fax

(855) 400-8262

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

David L Factor, MD

Title

Owner

Phone

(855) 200-8262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1427452952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD",
            "address_2": "SUITE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314917",
            "telephone_number": "855-200-8262",
            "fax_number": "855-400-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD",
            "address_2": "SUITE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314917",
            "telephone_number": "855-200-8262",
            "fax_number": "855-400-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DIAGNOSTICS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "FACTOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-200-8262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "56829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George R Luck M D P a
• Jithin Joseph George, LCPC
• Jonathan George, APRN
• Sandy V George, D.C.
• Dahensha Thawanah Georges
• Georgia Management Group
• Georgia Testing Services Inc
• Susan Michelle Geraci, LCSW
• Gerard M. Cuomo, D.D.S., P.a.
• Marissa Gerasci, M.A. CCC-SLP

• Health Maintenance Organization in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.