Organization Active NPI

Riverdale Radiology Center

  • Magnetic Resonance Imaging Radiologic Technologist
  • Macon, GA
National Provider Identifier
1447302344
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
RIVERDALE RADIOLOGY CENTER
Practice address
833 Walnut St
Macon, GA 31201-2617
Phone
(478) 745-2727
Fax
(478) 745-2201
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Chandresh Patel
Title
Ceo
Phone
(478) 745-2727

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3401X
Radiography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3402X
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X Primary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X

Addresses

Primary practice location

833 Walnut St
Macon, GA 31201-2617

Mailing address

237 Medical Way
Suite B
Riverdale, GA 30274-2522
Phone (770) 909-0488

Other names 1

  • RCOM Other name

National Provider Directory

National Provider Directory

Locations

237 Medical Way
Ste B
Riverdale, GA 30274
Phone (770) 909-0488

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1447302344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MEDICAL WAY",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742522",
            "telephone_number": "770-909-0488",
            "fax_number": "770-909-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012617",
            "telephone_number": "478-745-2727",
            "fax_number": "478-745-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE RADIOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHANDRESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-745-2727"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.