National Provider Identifier Database

PHYSICIAN DIAGNOSTIC SERVICES LLC
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

PHYSICIAN DIAGNOSTIC SERVICES LLC
2425 WALL ST SE
CONYERS, GA30013-6342
Phone: 678-487-1266
Fax: 240-371-8541
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for PHYSICIAN DIAGNOSTIC SERVICES LLC

NPI Number 1871592501
Legal business name
LBN
PHYSICIAN DIAGNOSTIC SERVICES LLC
Authorized official ANGELA NAUFUL - (VICE PRESIDENT, ACCOUNTS RECEIVABLE)
Entity Organization
Organization subpart No
Enumeration date 07/15/2005
Last updated 04/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 019144200

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.

Reviews for PHYSICIAN DIAGNOSTIC SERVICES LLC

There are currently no reviews for PHYSICIAN DIAGNOSTIC SERVICES LLC


NPIdb - Home
v2.201