LOWER EXTREMITY DIAGNOSTICS, LLC; NPI #1770991861

Contact Information

LOWER EXTREMITY DIAGNOSTICS, LLC

6911 TARA BOULEVARD
JONESBORO, GA 30236

Phone: 770-477-9535
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	213ER0200X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for LOWER EXTREMITY DIAGNOSTICS, LLC

NPI Number 1770991861

LBN Legal business name LOWER EXTREMITY DIAGNOSTICS, LLC

Authorized official STANLEY KALISH - (MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/01/2014

Last updated 08/01/2014 - About 12 years ago

Identifiers

License #

POD000382

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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LOWER EXTREMITY DIAGNOSTICS, LLC

Contact Information

Specialty

Radiology

NPI Profile & details for LOWER EXTREMITY DIAGNOSTICS, LLC

Reviews for LOWER EXTREMITY DIAGNOSTICS, LLC