AMSCAN RADIOLOGY ASSOCIATES, LLC


Address: 576 Sigman Rd Ne, 500, Conyers, GA 30013-1326
Phone: 6785090121

AMSCAN RADIOLOGY ASSOCIATES, LLC (NPI# 1003869595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003869595
Entity Type Organization
Organization Name AMSCAN RADIOLOGY ASSOCIATES, LLC
Practice Address 576 Sigman Rd Ne
500
Conyers
GA 30013-1326
Practice Telephone 6785090121
Practice Fax Number 6785090163
Mailing Telephone 6785090121
Mailing Fax Number 6785090163
Enumeration Date 2006-05-18
Last Update Date 2020-08-22
Authorized Official Name MRS. BROOKE KANUPKE (MANAGER)
Authorized Official Telephone 6785090121
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 576 SIGMAN RD NE
500
City CONYERS
State GA
Zip Code 30013-1326

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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City CONYERS
Zip Code 30013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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