# P E T IMAGING OF GWINNETT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRIDENT MOLECULAR IMAGING, LLC
- **Other names:** Trident PET of Gwinnett
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841285392
- **Legal business name:** TRIDENT MOLECULAR IMAGING, LLC
- **Authorized official:** GUY A MESSER (CFO)
- **Authorized official phone:** (770) 692-2371

## Contact information

- **Practice address:** 545 OLD NORCROSS RD, STE 200, LAWRENCEVILLE, GA 30045-3389
- **Practice address phone:** (770) 719-3754
- **Practice address fax:** (770) 719-3804
- **Mailing address:** 1275 HIGHWAY 54 W, STE 103, FAYETTEVILLE, GA 30214-4549
- **Mailing address phone:** (770) 692-2371
- **Mailing address fax:** (770) 692-2373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 04/10/2012