# THE PINK RIBBON MAMMOGRAPHY AND DIAGNOSTIC RADIOLOGY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023410842
- **Authorized official:** MRS. AMIRA KARRIEM BS RT R, M, CT (CEO)
- **Authorized official phone:** (678) 903-5798

## Contact information

- **Practice address:** 256 VALLEY VIEW CIR, DALLAS, GA 30132-9806
- **Practice address phone:** (678) 903-5786
- **Practice address fax:** (888) 545-1070
- **Mailing address:** 256 VALLEY VIEW CIR, DALLAS, GA 30132-9806
- **Mailing address phone:** (678) 903-5786
- **Mailing address fax:** (888) 545-1070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 326204 | GA | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 07/13/2023