NPIMap

Organization Active NPI

Bio-Molecular Imaging & Therapy, LLC.

  • Radiology Clinic/Center
  • East Point, GA
National Provider Identifier
1841469871
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
GA-1545-1 Issued in GA
Legal business name
BIO-MOLECULAR IMAGING & THERAPY, LLC.
Practice address
3305 Bobby Brown Pkwy
East Point, GA 30344-5012
Phone
(678) 471-6073
Fax
(770) 964-1105
NPI assigned
Feb 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Shashikant A Daya, M.D.NPI 1760512016
Title
Physician
Phone
(404) 806-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X GA 1545-1 GA
Radiology Clinic/Center 261QR0200X GA-1545-1 GA Primary

Addresses

Primary practice location

3305 Bobby Brown Pkwy
East Point, GA 30344-5012

Mailing address

3305 Bobby Brown Pkwy
East Point, GA 30344-5012
Phone (678) 471-6073

Other identifiers 1

IdentifierTypeStateIssuer
360335904BMedicaidGA

Other names 1

  • Nu-Imaging Medical Diagnostic & Therapy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1841469871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 BOBBY BROWN PKWY",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445012",
            "telephone_number": "678-471-6073",
            "fax_number": "770-964-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 BOBBY BROWN PKWY",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445012",
            "telephone_number": "678-471-6073",
            "fax_number": "770-964-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MOLECULAR IMAGING & THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-24",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "DAYA",
        "authorized_official_first_name": "SHASHIKANT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-806-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "GA",
            "license": "GA  1545-1",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "GA-1545-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360335904B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nu-Imaging Medical Diagnostic & Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.