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Contact Information

SOUTHERN DIAGNOSTIC TESTING, LLC
3 WASHINGTON AVE
SUITE A
GAINESVILLE, GA30501-4100
 Phone: 770-654-4878
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for SOUTHERN DIAGNOSTIC TESTING, LLC

NPI Number 1992059224
LBN Legal business name SOUTHERN DIAGNOSTIC TESTING, LLC
Authorized official ROBERT FERRARO - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2012
Last updated 11/08/2012 - About 14 years ago
Identifiers n/a
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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