Organization · Type 2 NPI
Source Diagnostics of Georgia, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Macon, GA
Practice location
5559 Thomaston Rd
Macon, GA 31220-8120
Mailing address
5275 Naiman Pkwy, Suite E
Solon, OH 44139-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary | 335V00000X | None listed |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the service…
Another provider at this address
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About NPI 1700190105
Source Diagnostics of Georgia, LLC's National Provider Identifier is 1700190105, issued on Jul 28, 2010. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Macon, GA. The record was last updated on Mar 28, 2012.