Peachtree MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PEACHTREE MRI LLC

Doing business as

Peachtree Diagnostic Services

Practice address

1380 Carlysle Park Dr
Lawrenceville, GA 30044-2249

Phone

(404) 964-3569

Fax

(866) 487-7900

NPI assigned

Oct 6, 2010

Last updated

Oct 6, 2010By 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

Syed Imran Niazi

Title

Officer

Phone

(404) 964-3569

Specialties & licenses 1

Addresses

Other names 1

• Peachtree Diagnostic Services Doing business as

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1689983777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 CARLYSLE PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442249",
            "telephone_number": "404-964-3569",
            "fax_number": "866-487-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CARLYSLE PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442249",
            "telephone_number": "404-964-3569",
            "fax_number": "866-487-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "IMRAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-964-3569"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Diagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyjvanna Tekonsha Payne, LPC
• Peach Smiles
• Peach State Home Care Service LLC
• Peach State Pediatric Therapy Inc.
• Peach State Smiles
• Aurora J. Peacock, MD
• Belinda J Peacock, NP
• Charles Leroy Peacock, CRNA
• Heather Peak, RN
• Billy S Pealock, D.M.D

• Magnetic Resonance Imaging (MRI) Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.