# ALLY IMAGING SERVICES, LLC

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

## Provider details

- **NPI number:** 1346913753
- **Authorized official:** JETH CHILDERS (EXECUTIVE DIRECTOR/OWNER)
- **Authorized official phone:** (404) 392-3155

## Contact information

- **Practice address:** 312 CROSSTOWN DR STE 174, PEACHTREE CITY, GA 30269-2948
- **Practice address phone:** (470) 735-4998
- **Practice address fax:** (470) 241-1223
- **Mailing address:** 312 CROSSTOWN DR STE 174, PEACHTREE CITY, GA 30269-2948
- **Mailing address phone:** (470) 735-4998
- **Mailing address fax:** (470) 241-1223

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 07/30/2021