NPI 1700190105
Source Diagnostics of Georgia, LLC
Practice location
- Address
- 5559 Thomaston Rd, Macon, GA 31220-8120
- Phone
- (478) 405-7015
- Mailing address
- 5275 Naiman Pkwy Suite E, Solon, OH 44139-1029
Authorised official
- Name
- Kathleen a Barry
- Title
- Coo
- Phone
- (440) 645-7822
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1700190105
- Entity type
- Organization
- NPI issued
- 28 Jul 2010
- Record last updated
- 28 Mar 2012
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.