NPIMap

Organization Active NPI

Sinorien Healthcare Service

Doing business as Montreal Medical Imaging

  • Radiology Clinic/Center
  • Tucker, GA
National Provider Identifier
1689706186
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SINORIEN HEALTHCARE SERVICE
Doing business as
Montreal Medical Imaging
Practice address
1462 Montreal Rd
112
Tucker, GA 30084-6929
Phone
(770) 492-0922
Fax
(770) 492-0923
NPI assigned
Mar 10, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Averil Dantwan Johnson
Title
Ceo
Phone
(770) 318-0476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X GA Primary

Addresses

Primary practice location

1462 Montreal Rd
112
Tucker, GA 30084-6929

Mailing address

1462 Montreal Rd
112
Tucker, GA 30084-6929
Phone (770) 492-0922

Other names 1

  • Montreal Medical Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montreal Medical Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1462 Montreal Rd
Ste 112
Tucker, GA 30084
Phone (770) 414-8589

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689706186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "address_2": "112",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846929",
            "telephone_number": "770-492-0922",
            "fax_number": "770-492-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "address_2": "112",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846929",
            "telephone_number": "770-492-0922",
            "fax_number": "770-492-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINORIEN HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AVERIL",
        "authorized_official_middle_name": "DANTWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-318-0476"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montreal Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.