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General NPI Number Information
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NPI Number | 1982552709
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE DIAGNOSTIC CENTERS, LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 2801 N DECATUR RD STE 100
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City | DECATUR
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State | GA
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Zip | 30033-5924
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Country | US
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Telephone | 404-902-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 N DECATUR RD STE 100
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City | DECATUR
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State | GA
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Zip | 30033-5924
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRADFORD AMES
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Credential |
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Telephone | 949-490-5538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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