NPIMap

Organization Active NPI

Georgia Health Imaging

  • Diagnostic Radiology Physician
  • Lawrenceville, GA
National Provider Identifier
1851324529
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GEORGIA HEALTH IMAGING
Practice address
3653 Lawrenceville Hwy
Suite 150
Lawrenceville, GA 30044-4107
Phone
(678) 924-0964
Fax
(678) 924-0965
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Mrs. Yasmin K Budhwani, MBBS(MD), RDMS
Title
Administrator
Phone
(678) 924-0964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Radiology Clinic/Center 261QR0200X 010492 GA

Addresses

Primary practice location

3653 Lawrenceville Hwy
Suite 150
Lawrenceville, GA 30044-4107

Mailing address

3653 Lawrenceville Hwy
Suite 150
Lawrenceville, GA 30044-4107
Phone (678) 924-0964

Other identifiers 1

IdentifierTypeStateIssuer
901280491AMedicaidGA

Other names 1

  • PROGRESSIVE HEALTH LLC Other name

National Provider Directory

National Provider Directory

Locations

4025 Lawrenceville Hwy NW
Ste C
Lilburn, GA 30047
Phone (662) 347-2267

Practitioners & affiliated clinicians

Practitioners 6

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1851324529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 LAWRENCEVILLE HWY",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444107",
            "telephone_number": "678-924-0964",
            "fax_number": "678-924-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 LAWRENCEVILLE HWY",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444107",
            "telephone_number": "678-924-0964",
            "fax_number": "678-924-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA HEALTH IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "BUDHWANI",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-924-0964",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBBS(MD), RDMS"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "010492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901280491A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE HEALTH LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.