# RIVERDALE RADIOLOGY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RCOM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447302344
- **Authorized official:** CHANDRESH PATEL (CEO)
- **Authorized official phone:** (478) 745-2727

## Contact information

- **Practice address:** 833 WALNUT ST, MACON, GA 31201-2617
- **Practice address phone:** (478) 745-2727
- **Practice address fax:** (478) 745-2201
- **Mailing address:** 237 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274-2522
- **Mailing address phone:** (770) 909-0488
- **Mailing address fax:** (770) 909-8245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | — |
| 2471C3402X | Radiography Radiologic Technologist | — | NULL | — |
| 2471C3402X | Radiography Radiologic Technologist | — | — | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | NULL | Yes |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | — | Yes |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 09/05/2007