PRO RADIOLOGY, LLC


Address: 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304
Phone: 6782788800

PRO RADIOLOGY, LLC (NPI# 1164966461) 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) 1164966461
Entity Type Organization
Organization Name PRO RADIOLOGY, LLC
Practice Address 60 Peachtree Park Dr Ne
Atlanta
GA 30309-1304
Mailing Address Po Box 933367
Atlanta
GA 31193-3367
Practice Telephone 6782788800
Practice Fax Number 6782788797
Mailing Telephone 6782788800
Mailing Fax Number 6782788797
Enumeration Date 2016-12-06
Last Update Date 2017-01-13
Authorized Official Name RICK MCKEOWN (MEDICAL DIRECTOR)
Authorized Official Telephone 6782788800
Authorized Official Credential MD
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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942733308 Pro Radiology, LLC Radiology 3921 Johns Creek Ct, Suite B, Johns Creek, GA 30024 2017-04-04

Office Location

Street Address 60 PEACHTREE PARK DR NE
City ATLANTA
State GA
Zip Code 30309-1304

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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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Competitor

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City ATLANTA
Zip Code 30309

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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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