NPI Code Detail JSON Logo

1487285193 NPI number — AU HEALTH IMAGING, LLC

NPI Number: 1487285193
Health Care Provider/Practitioner: AU HEALTH IMAGING, LLC

Information about “1487285193” NPI (AU HEALTH IMAGING, LLC) exists in 1487285193 in HTML format HTML  |  1487285193 in plain Text format TXT  |  1487285193 in PDF (Portable Document Format) PDF  |  1487285193 in an XML format XML  formats.

NPI Number : 1487285193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487285193",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "AU MEDICAL ASSOCIATES INC",
    "ParentOrgTIN": null,
    "OrgName": "AU HEALTH IMAGING, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1120 15TH ST # BI1056",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUGUSTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30912-0004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-721-3813",
    "MailingAddressFaxNumber": "706-721-9286",
    "FirstLinePracticeLocationAddress": "3722 WHEELER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUGUSTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30909-6638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-721-8623",
    "PracticeLocationAddressFaxNumber": "706-721-1439",
    "EnumerationDate": "01/31/2020",
    "LastUpdateDate": "10/21/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STOUT",
    "AuthorizedOfficialFirstName": "AMY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "615-261-2306",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "293D00000X",
          "TaxonomyName": "Physiological Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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