MEDICARE: RADIOLOGICAL ANALYSIS & DIGITIZATION OF X-RAYS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085U0001X	Diagnostic Ultrasound Physician	49913	GA

General Provider Information

NPI Number	:	1922264886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGICAL ANALYSIS & DIGITIZATION OF X-RAYS

Provider Business Mailing Address
First Line	:	6810 ROSWELL RD NE
Second Line	:	SUITE 1-B
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-2445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6810 ROSWELL RD NE
Second Line	:	SUITE 1-B
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-2445
Country	:	US
Telephone Number	:	877-377-7239
Fax Number	:	877-409-7408

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JUAN CARLOS LEE
Credential	:	M.D.
Telephone Number	:	770-354-9203

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	07/31/2008

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