Organization · Type 2 NPI

Pet Imaging Center of Gwinnett LLC

Radiology Clinic/Center · Lawrenceville, GA

NPI number 1750699005 Active

Practice location

555 Old Norcross Rd, 115
Lawrenceville, GA 30046-8716

Call (770) 277-0501 Map

Fax (770) 277-4324

Mailing address

1275 Highway 54 W, 103
Fayetteville, GA 30214-4549

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

4 other providers at this address

Clear Choice Family Medicine, IncInternal Medicine Physician Lawrenceville, GA NPI 1831583277
Anita Singh Khichi, MDPediatrics Physician Lawrenceville, GA NPI 1366598799
Divya Biren Joshi, MDPediatrics Physician Lawrenceville, GA NPI 1730223934
Guna P. Sekar, MDPediatrics Physician Lawrenceville, GA NPI 1225184658

Other radiology clinic/center providers in Lawrenceville

See all in Lawrenceville →

NPI record

NPI: 1750699005
Entity type: Organization (Type 2)
Issued: Sep 21, 2010
Last updated: Sep 21, 2010
Status: Active
Subpart: Yes of Trident Medical Imaging

Other names

<unavail>
Trident Medical Imaging- Gwinnett · doing business as

Authorized official

Crystal Gates
Director of Patient Accounts
(770) 692-1387

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1750699005

Pet Imaging Center of Gwinnett LLC's National Provider Identifier is 1750699005, issued on Sep 21, 2010. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 21, 2010.