Healthcare Provider Details

I. General information

NPI: 1386609303
Provider Name (Legal Business Name): DIAGNOSTIC IMAGING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 BUFORD HWY SUITE 108
BUFORD GA
30518-6120
US

IV. Provider business mailing address

2140 BUFORD HWY SUITE 108
BUFORD GA
30518-6120
US

V. Phone/Fax

Practice location:
  • Phone: 678-546-5000
  • Fax: 678-546-0055
Mailing address:
  • Phone: 678-546-5000
  • Fax: 678-546-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN MICHELLE LATTIMER
Title or Position: OFFICE MANAGER
Credential: RN
Phone: 678-546-5000