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Organization
BIO-MOLECULAR IMAGING & THERAPY, LLC.
Active
Organization
BIO-MOLECULAR IMAGING & THERAPY, LLC.
Active
Other names
Nu-Imaging Medical Diagnostic & Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHASHIKANT A DAYA M.D. (PHYSICIAN)
(404) 806-8181
Entity
Organization
Contact information
Practice address
3305 BOBBY BROWN PKWY, EAST POINT, GA 30344-5012
(678) 471-6073
(770) 964-1105
Mailing address
3305 BOBBY BROWN PKWY, EAST POINT, GA 30344-5012
(678) 471-6073
(770) 964-1105
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
GA 1545-1
GA
261QR0200X
Radiology Clinic/Center
Primary
GA-1545-1
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360335904B
—
GA
Enumeration date
02/24/2008
Last updated
10/31/2011
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