National Provider Identifier Database

WOODLAWN MEDICAL GROUP OF ARIZONA
Sonography Radiologic Technologist

A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

WOODLAWN MEDICAL GROUP OF ARIZONA
3535 ROSWELL RD
SUITE 20
MARIETTA, GA30062-8826
Phone: 770-303-4499
Fax: 770-303-9901
Website:
Specialty Taxonomy Code
* Sonography Radiologic Technologist 2471S1302X

* Indicates primary specialty

NPI Profile & details for WOODLAWN MEDICAL GROUP OF ARIZONA

NPI Number 1104045251
Legal business name
LBN
WOODLAWN MEDICAL GROUP OF ARIZONA
Authorized official ROBERT SCRUGGS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/25/2007
Last updated 11/01/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 07689701W

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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