Organization · Type 2 NPI
Lifetest of Georgia, LLC
Mammography Clinic/Center · Atlanta, GA
NPI number
1255339107
Active
Practice location
1140 Hammond Dr NE, Building I, Ste 9120
Atlanta, GA 30328-5338
Fax (770) 730-0114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center | 261QR0200X | BL02-11466 (GA) |
| Mammography Clinic/Center Primary | 261QR0206X | BL02-11466 (GA) |
Mammography Clinic/Center: Definition to come...
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About NPI 1255339107
Lifetest of Georgia, LLC's National Provider Identifier is 1255339107, issued on Jul 13, 2005. The primary taxonomy on file is Mammography Clinic/Center (261QR0206X), and the practice location is in Atlanta, GA. The record was last updated on Sep 11, 2025.