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Organization
LIFETEST OF GEORGIA, LLC
Active
Organization
LIFETEST OF GEORGIA, LLC
Active
Other names
Lifetest Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE GALLAGHER (EXECUTIVE DIRECTOR)
(770) 730-0119
Entity
Organization
Contact information
Practice address
1140 HAMMOND DR NE, BUILDING I, STE 9120, ATLANTA, GA 30328-5338
(770) 730-0119
(770) 730-0114
Mailing address
1140 HAMMOND DR NE, BUILDING I, STE 9120, ATLANTA, GA 30328-5338
(770) 730-0119
(770) 730-0114
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
BL02-11466
GA
261QR0206X
Mammography Clinic/Center
Primary
BL02-11466
GA
Other
Enumeration date
07/13/2005
Last updated
09/11/2025
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