New Age Diagnostic Imaging, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEW AGE DIAGNOSTIC IMAGING, LLC

Practice address

3100 Gentian Blvd
Suite 22B
Columbus, GA 31907-5636

Phone

(720) 314-1648

Fax

(866) 851-3360

NPI assigned

Apr 7, 2009

Last updated

Apr 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sylvia Dean

Title

Owner, President

Phone

(720) 314-1648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1609019629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GENTIAN BLVD",
            "address_2": "SUITE 22B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075636",
            "telephone_number": "720-314-1648",
            "fax_number": "866-851-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GENTIAN BLVD",
            "address_2": "SUITE 22B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075636",
            "telephone_number": "720-314-1648",
            "fax_number": "866-851-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "720-314-1648",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Columbus, GA
• Providers in Columbus, GA by specialty
• Physiological Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.