Organization Active NPI

Impedio Health, LLC

  • Corporate Health Clinic/Center
  • Atlanta, GA
National Provider Identifier
1831564384
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
IMPEDIO HEALTH, LLC
Practice address
3805 Presidential Pkwy
Ste 106
Atlanta, GA 30340-3720
Phone
(770) 454-1363
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Michael Imani, ND, PH.D.
Title
Ceo
Phone
(770) 454-1363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

3805 Presidential Pkwy
Ste 106
Atlanta, GA 30340-3720

Mailing address

PO Box 56147
Atlanta, GA 30343-0147
Phone (770) 454-1363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1831564384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56147",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303430147",
            "telephone_number": "770-454-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 PRESIDENTIAL PKWY",
            "address_2": "STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403720",
            "telephone_number": "770-454-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPEDIO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "IMANI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-454-1363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, PH.D."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.