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Organization
DIAGNOSTIC SYSTEMS OF GEORGIA, LLC
Active
Organization
DIAGNOSTIC SYSTEMS OF GEORGIA, LLC
Active
Other names
Coosa Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L GRAY (OWNER/CEO)
(706) 354-1036
Entity
Organization
Contact information
Practice address
16 RIVERBEND DR, ROME, GA 30161
(706) 378-0611
(706) 378-0143
Mailing address
1069 BAXTER ST, STE C, ATHENS, GA 30606
(706) 354-1036
(706) 354-0529
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
N/A
GA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
GA
261QR0200X
Radiology Clinic/Center
NA
GA
261QR0206X
Mammography Clinic/Center
N/A
GA
Other
Enumeration date
05/10/2006
Last updated
03/31/2010
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