# JLM X-RAY LLC

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

## Provider details

- **NPI number:** 1215316435
- **Authorized official:** JOHN SMITH (PRESIDENT)
- **Authorized official phone:** (770) 554-8989

## Contact information

- **Practice address:** 1015 CANTON STREET, ROSWELL, GA 30075
- **Practice address phone:** (770) 993-4545
- **Mailing address:** 22 GREENE STREET, ROSWELL, GA 30075
- **Mailing address phone:** (770) 993-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | GA | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 05/20/2015