Imaging Associates Of Canton

LBN: Imaging Associates Of Canton
Imaging Associates Of Canton is an health care organization with primary practice located at 200 Oakside Ln Suite A, Canton GA 30114-6415. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Imaging Associates Of Canton can be contacted via phone (770) 479-1945, or through Peters, Bradley Robert via phone (770) 479-1945.

Contact Information

Primary practice address
200 Oakside Ln Suite A Canton GA 30114-6415
Fax: (770) 479-1948
Website:
Authorized official contact:
Name: Peters, Bradley Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1932155355
LBN Legal business name Imaging Associates Of Canton
DBA Doing business as
Authorized official Peters, Bradley Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Apr 25th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932155355 NPPES
Georgia Other 10051310 AMERIGROUP
Georgia Other 129908 AMERIGROUP
Georgia MEDICAID 000964268L AMERIGROUP
Georgia Other 319443 AMERIGROUP

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