National Provider Identifier Database

DIAGNOSTIC CLINIC OF ATHENSLLC
Radiology


Contact Information

DIAGNOSTIC CLINIC OF ATHENS,LLC
1063 BAXTER ST
ATHENS, GA30606-3773
Phone: 706-316-3662
Fax: 706-316-3155
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for DIAGNOSTIC CLINIC OF ATHENS,LLC

NPI Number 1679523708
Legal business name
LBN
DIAGNOSTIC CLINIC OF ATHENS,LLC
Authorized official WALTER PRICE - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/11/2006
Last updated 02/18/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 0680713

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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