NEW AGE DIAGNOSTIC IMAGING, LLC (NPI# 1609019629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609019629 |
| Entity Type | Organization |
| Organization Name | NEW AGE DIAGNOSTIC IMAGING, LLC |
| Practice Address |
3100 Gentian Blvd Suite 22b Columbus GA 31907-5636 |
| Practice Telephone | 7203141648 |
| Practice Fax Number | 8668513360 |
| Mailing Telephone | 7203141648 |
| Mailing Fax Number | 8668513360 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |
| Authorized Official Name | MS. SYLVIA DEAN (OWNER, PRESIDENT) |
| Authorized Official Telephone | 7203141648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
3100 GENTIAN BLVD SUITE 22B |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907-5636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912147463 | Betty Ruth King | Counselor | 3100 Gentian Blvd, Suite 14b, Columbus, GA 31907-5636 | 2009-02-24 |
| 1154776326 | Rainbow of Care Mental Health Services, LLC | Counselor | 3100 Gentian Blvd, Suite # 132, Columbus, GA 31907-5636 | 2016-04-25 |
| 1477847226 | Saving Our Seeds, Inc | Community/Behavioral Health | 3100 Gentian Blvd, Suite 20b, Columbus, GA 31907-5636 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689623449 | Diagnostic Health Corporation | Physiological Laboratory | 2131 Comer Avenue, Columbus, GA 31904 | 2006-05-09 |
| 1831154996 | Insight Proscan LLC | Physiological Laboratory | 2141 Polaris Pkwy, Columbus, OH 43240-2022 | 2006-04-19 |
| 1083613699 | Imaging Center of Columbus, LLC | Physiological Laboratory | 2526 5th St N, Columbus, MS 39705-2019 | 2005-07-15 |
| 1043213077 | King's Medical Imaging At Watermark, LLC | Physiological Laboratory | 1680 Watermark Dr, Ste 101, Columbus, OH 43215-1034 | 2005-05-23 |
| 1326017666 | Insight Health Corp | Physiological Laboratory | 750 E Broad St, Columbus, OH 43205-1000 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285193 | Au Health Imaging, LLC | Physiological Laboratory | 3722 Wheeler Rd, Augusta, GA 30909-6638 | 2020-01-31 |
| 1417458233 | Procare Ultrasound | Physiological Laboratory | 4500 Satellite Blvd Ste 2190, Duluth, GA 30096-8850 | 2018-02-27 |
| 1831699222 | Hong Huong Thi Pham | Physiological Laboratory | 1710 Lake Lucerne Rd Sw, Lilburn, GA 30047-4534 | 2018-02-13 |
| 1225537483 | Fairpricemd Inc | Physiological Laboratory | 6175 Hickory Flat Hwy Ste 110-411, Canton, GA 30115-7207 | 2018-02-02 |
| 1861925075 | Nomadx Inc. | Physiological Laboratory | 4 E Washington St, Ste B2-b4, Newnan, GA 30263-1933 | 2017-04-05 |
| 1912375148 | Zywie Inc | Physiological Laboratory | 12000 Findley Rd, Suite 360, Johns Creek, GA 30097-1412 | 2015-09-03 |
| 1518347673 | Arterial Health International LLC | Physiological Laboratory | 3340 Peachtree Road, Ste 1800, Atlanta, GA 30326 | 2015-06-04 |
| 1669888657 | Avilys, LLC | Physiological Laboratory | 2300 Northside Xing, Ste B, Macon, GA 31210-2254 | 2014-07-10 |
| 1700210655 | Neba Health, LLC | Physiological Laboratory | 699 Broad St, Suite 1000, Augusta, GA 30901-1400 | 2013-08-28 |
| 1689919979 | Vocal Imaging, Inc. | Physiological Laboratory | 3006 Butler Creek Rd Nw, Kennesaw, GA 30152-3328 | 2012-11-28 |
| Find all providers with the same taxonomy | ||||
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| 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.