ELITE MRI OF LAURENS, LLC; NPI #1699860130

Contact Information

ELITE MRI OF LAURENS, LLC

113 FAIRVIEW PARK DR STE A
DUBLIN, GA 31021-2563

Phone: 478-275-8895
Fax: 478-275-8896
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Magnetic Resonance Imaging (MRI)	261QM1200X

Indicates primary specialty

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NPI Profile & details for ELITE MRI OF LAURENS, LLC

NPI # 1699860130

LBN Legal business name ELITE MRI OF LAURENS, LLC

Authorized official PETER HOLLIDAY - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2006

Last updated 05/26/2026 - About 2 weeks ago

Identifiers

Medicaid

569094754A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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