# OPTIMUS ULTRASOUND LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OPTIMUS DIAGNOSTICS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578933453
- **Legal business name:** OPTIMUS DIAGNOSTICS LLC
- **Authorized official:** MRS. DIANA WILKS (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (478) 621-2100

## Contact information

- **Practice address:** 252 HOLT AVE, MACON, GA 31201-1227
- **Practice address phone:** (478) 742-4098
- **Practice address fax:** (877) 455-7176
- **Mailing address:** 1005 BOULDER DR, GRAY, GA 31032-6141
- **Mailing address phone:** (478) 621-2100
- **Mailing address fax:** (478) 744-0481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2015
- **Last updated:** 08/30/2016