Ga Diagnostic Providers

LBN: Ga Diagnostic Providers
Ga Diagnostic Providers 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 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:
Map and Directions
Authorized official contact:
Name: Mobley, Mark Shane Registered Respiratory Therapist (RRT)
Phone: (478) 972-8865

Health care specialties

SpecialtyCodeLicense #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
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 Oct 22nd, 2020 - about 5 years ago

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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