# RADIOLOGY SPECIALTY LLC

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

## Provider details

- **NPI number:** 1467729947
- **Authorized official:** MR. KEVIN J LEWIS RT (OWNER)
- **Authorized official phone:** (404) 784-8792

## Contact information

- **Practice address:** 5434 EMILY CIR, ELLENWOOD, GA 30294-4326
- **Practice address phone:** (404) 784-8792
- **Mailing address:** PO BOX 887, REX, GA 30273-0887

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 11/28/2011