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A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Portable Xray Supplier |
335V00000X | 63 | Portable X-Ray Supplier |
| NPI Number | 1700190105 |
| LBN Legal business name | SOURCE DIAGNOSTICS OF GEORGIA, LLC |
| Authorized official | KATHLEEN BARRY - (COO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/28/2010 |
| Last updated | 03/28/2012 - About 14 years ago |
| Identifiers | n/a |
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SOURCE DIAGNOSTICS OF GEORGIA, LLC
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SOURCE DIAGNOSTICS OF GEORGIA, LLC