NPI 1609019629

New Age Diagnostic Imaging, LLC

Organisation Physiological Laboratory Columbus, GA

Practice location

Address: 3100 Gentian Blvd Suite 22b, Columbus, GA 31907-5636
Phone: (720) 314-1648
Fax: (866) 851-3360

Authorised official

Name: Sylvia Dean
Title: Owner, President
Phone: (720) 314-1648

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1609019629
Entity type: Organization
NPI issued: 7 Apr 2009
Record last updated: 7 Apr 2009

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.