National Provider Identifier Database

STATESBORO IMAGING CENTER PC
Physiological Laboratory, (Independent Physiological Lab)

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 laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

STATESBORO IMAGING CENTER, P.C.
8 LESTER RD
STATESBORO, GA30458-4786
Phone: 912-764-5656
Fax: 912-764-7522
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for STATESBORO IMAGING CENTER, P.C.

NPI Number 1750413613
Legal business name
LBN
STATESBORO IMAGING CENTER, P.C.
Authorized official CONNIE CONNELL - (COO)
Entity Organization
Organization subpart No
Enumeration date 03/09/2007
Last updated 03/03/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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