National Provider Identifier Database

ELITE MRI OF LAURENS LLC
Magnetic Resonance Imaging (MRI)


Contact Information

ELITE MRI OF LAURENS, LLC
113 FAIRVIEW PARK DR STE A
DUBLIN, GA31021-2563
Phone: 478-275-8895
Fax: 478-275-8896
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for ELITE MRI OF LAURENS, LLC

NPI Number 1699860130
Legal business name
LBN
ELITE MRI OF LAURENS, LLC
Authorized official PETER HOLLIDAY - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/03/2006
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 569094754A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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