Subspecialty Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SUBSPECIALTY IMAGING, LLC

Doing business as

Subspecialty Imaging Canton

Practice address

1495 Hickory Flat Hwy Ste 150
Canton, GA 30115-4229

Phone

(855) 325-5905

NPI assigned

Jan 24, 2018

Last updated

Jan 24, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SUBSPECIALTY IMAGING, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Walter Grayson Price

Title

Cfo

Phone

(706) 433-4123

Specialties & licenses 1

Addresses

Other names 1

• Subspecialty Imaging Canton Doing business as

Part of

Metro Imaging Sandy Springs LLC

Locations

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1578061636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48267",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048267",
            "telephone_number": "844-800-2326",
            "fax_number": "706-354-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY STE 150",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154229",
            "telephone_number": "855-325-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSPECIALTY IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUBSPECIALTY IMAGING, LLC",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "GRAYSON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-433-4123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Subspecialty Imaging Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Canton, GA
• Providers in Canton, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.