Organization Active NPI

King Diagnostic Ultrasound Service

  • Mobile Radiology Clinic/Center
  • Decatur, GA
National Provider Identifier
1912107616
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
KING DIAGNOSTIC ULTRASOUND SERVICE
Practice address
3483 Albatross Court
Decatur, GA 30034-4206
Phone
(404) 840-9548
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Mrs. Ledeanna King
Title
Ceo
Phone
(404) 840-9548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

3483 Albatross Court
Decatur, GA 30034-4206

Mailing address

3483 Albatross Court
Decatur, GA 30034-4206
Phone (404) 840-9548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1912107616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 ALBATROSS COURT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344206",
            "telephone_number": "404-840-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 ALBATROSS COURT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344206",
            "telephone_number": "404-840-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DIAGNOSTIC ULTRASOUND SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LEDEANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-840-9548",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.