Physician Diagnostic Services Llc in Conyers - Physiological Laboratory
Physician Diagnostic Services Llc - NPI 1871592501
Physician Diagnostic Services Llc is a Physiological Laboratory in Conyers, Georgia. Physician Diagnostic Services Llc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Physician Diagnostic Services Llc is 1871592501. The last update date is 2008-04-29.
Physician Diagnostic Services Llc's current location address is 2425 Wall St Se, Conyers, Georgia. You can contact this provider via phone number 6784871266 and fax number 2403718541. The mailing address for Physician Diagnostic Services Llc is 2425 Wall St Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physician Diagnostic Services Llc |
|---|---|
| Address | 2425 Wall St Se, Conyers, Georgia |
| Phone Number | 6784871266 |
| Fax Number | 2403718541 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Nauful Marie Angela |
| Telephone Number | 6784871266 |
NPI Number Detail
| NPI Number | 1871592501 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 2425 Wall St Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300136342 |
| Phone Number | 6784871266 |
| Fax Number | 2403718541 |
Provider's Primary Taxonomy Detail
| Speciality | Physiological Laboratory |
|---|---|
| Taxonomy | 293D00000X |
|
Definition: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19144200 | MN | -- |
Post Comment/ Review Below
What is the Physician Diagnostic Services Llc's 1871592501?
The Physician Diagnostic Services Llc's NPI (National Provider Identifier) Number is 1871592501. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Physician Diagnostic Services Llc's physical address?
The Physician Diagnostic Services Llc is physically located at 2425 Wall St Se, in the city of Conyers, GA, with the postal code 300136342.
What is Physician Diagnostic Services Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Physician Diagnostic Services Llc's area of specialization is Physiological Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 293D00000X.
On what date did the Physician Diagnostic Services Llc receive the assignment of its 1871592501 from the Centers for Medicare & Medicaid Services?
The Physician Diagnostic Services Llc was issued its 1871592501 by the Centers for Medicare & Medicaid Services on 2005-07-15.
When was the information pertaining to Physician Diagnostic Services Llc most recently updated or revised?
The details related to Physician Diagnostic Services Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-29.