NPI 1467729947
Radiology Specialty LLC
Practice location
- Address
- 5434 Emily Cir, Ellenwood, GA 30294-4326
- Phone
- (404) 784-8792
- Mailing address
- PO Box 887, Rex, GA 30273-0887
Authorised official
- Name
- Kevin J Lewis
- Title
- Owner
- Phone
- (404) 784-8792
Registered specialties (2)
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Mobile Radiology Clinic/Center
Registry record
- NPI
- 1467729947
- Entity type
- Organization
- NPI issued
- 28 Nov 2011
- Record last updated
- 28 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.