# PRI X-RAY, L.L.C.

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

## Provider details

- **NPI number:** 1598747628
- **Authorized official:** MR. ALLEN TRADER (MANAGER)
- **Authorized official phone:** (770) 932-8599

## Contact information

- **Practice address:** 3620 MCGINNIS PARK DR, SUITE \#1, SUWANEE, GA 30024-7136
- **Practice address phone:** (770) 932-8599
- **Practice address fax:** (770) 614-8048
- **Mailing address:** 3620 MCGINNIS PARK DR, SUITE \#1, SUWANEE, GA 30024-7136
- **Mailing address phone:** (770) 932-8599
- **Mailing address fax:** (770) 614-8048

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 04/27/2011