Statesboro Imaging Center, P.C.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

STATESBORO IMAGING CENTER, P.C.

Practice address

8 Lester Rd
Statesboro, GA 30458-4786

Phone

(912) 764-5656

Fax

(912) 764-7522

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Connie B. Connell

Title

Coo

Phone

(912) 764-5656

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Don R Connell, M.D.

  • Diagnostic Radiology Physician
  • Rincon, GA
  • NPI 1740282003
  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1750413613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LESTER RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584786",
            "telephone_number": "912-764-5656",
            "fax_number": "912-764-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LESTER RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584786",
            "telephone_number": "912-764-5656",
            "fax_number": "912-764-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESBORO IMAGING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-764-5656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Statesboro Gastroenterology Inc
• Statesboro General Medical Clinic LLC
• Statesboro Gi Anesthesia LLC
• Statesboro Hma Medical Group, LLC
• Statesboro Hma Physician Management LLC
• Statesboro Imaging Center, P.C.
• Statesboro Medical Group, LLC
• Statesboro Neurosurgery, LLC
• Statesboro OB-GYN Specialists, PC
• Statesboro Oncology Assoc.

• All providers in Statesboro, GA
• Physiological Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.