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1871259150 NPI number — OSSP IMAGING GLENDRIDGE

NPI Number: 1871259150
Health Care Provider/Practitioner: OSSP IMAGING GLENDRIDGE

Information about “1871259150” NPI (OSSP IMAGING GLENDRIDGE) exists in 1871259150 in HTML format HTML  |  1871259150 in plain Text format TXT  |  1871259150 in PDF (Portable Document Format) PDF  |  1871259150 in an XML format XML  formats.

NPI Number : 1871259150 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871259150",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OSSP IMAGING GLENDRIDGE",
    "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": "5788 ROSWELL RD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30328-4904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-752-7246",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5416 GLENRIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANDY SPRINGS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30342-1342",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-752-7246",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/11/2021",
    "LastUpdateDate": "11/12/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BELTZHOOVER",
    "AuthorizedOfficialFirstName": "FAITH",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "RCM DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "678-752-7246",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0200X",
        "TaxonomyName": "Radiology Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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