# DIAGNOSTIC SYSTEMS OF GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coosa Diagnostic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881644110
- **Authorized official:** MR. RICHARD L GRAY (OWNER/CEO)
- **Authorized official phone:** (706) 354-1036

## Contact information

- **Practice address:** 16 RIVERBEND DR, ROME, GA 30161
- **Practice address phone:** (706) 378-0611
- **Practice address fax:** (706) 378-0143
- **Mailing address:** 1069 BAXTER ST, STE C, ATHENS, GA 30606
- **Mailing address phone:** (706) 354-1036
- **Mailing address fax:** (706) 354-0529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | N/A | GA | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | GA | Yes |
| 261QR0200X | Radiology Clinic/Center | NA | GA | — |
| 261QR0206X | Mammography Clinic/Center | N/A | GA | — |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 03/31/2010