Ga Diagnostic Providers Llc
LBN: Ga Diagnostic Providers Llc
Ga Diagnostic Providers Llc is an health care organization with primary practice located at 5400 Riverside Dr Ste 202 , Macon GA 31210-0818. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, Laboratories / Physiological Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Sleep Disorder Diagnostic is the primary health care specialty.
Ga Diagnostic Providers Llc can be contacted via phone (478) 787-0059, or through Mobley, Mark Shane via phone (478) 972-8865.
Contact Information
Primary practice address
5400 Riverside Dr Ste 202
Macon GA 31210-0818
Phone: (478) 787-0059
Fax: (855) 428-4597
Website:
Authorized official contact:
Name: Mobley, Mark Shane Registered Respiratory Therapist (RRT)
Phone: (478) 972-8865
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X | ||
| Laboratories / Physiological Laboratory | 293D00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1538768296 |
|---|---|
| LBN Legal business name | Ga Diagnostic Providers Llc |
| DBA Doing business as | |
| Authorized official | Mobley, Mark Shane Registered Respiratory Therapist (RRT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2020 |
| Last updated | Feb 21st, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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