Organization Active NPI

Affordable Breast Imaging

  • Mammography Clinic/Center
  • Winder, GA
National Provider Identifier
1437594686
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
AFFORDABLE BREAST IMAGING
Practice address
864 Kendall Park Dr
Winder, GA 30680-7868
Phone
(770) 361-9140
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Stephanie Ladet
Title
Owner
Phone
(770) 361-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X NU Primary

Addresses

Primary practice location

864 Kendall Park Dr
Winder, GA 30680-7868

Mailing address

864 Kendall Park Dr
Winder, GA 30680-7868
Phone (770) 361-9140

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1437594686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 KENDALL PARK DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807868",
            "telephone_number": "770-361-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 KENDALL PARK DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807868",
            "telephone_number": "770-361-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE BREAST IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "LADET",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-361-9140"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.