# SOUTHERN DIAGNOSTIC TESTING, LLC

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

## Provider details

- **NPI number:** 1992059224
- **Authorized official:** MR. ROBERT WILLIAM FERRARO JR. (MANAGING PARTNER)
- **Authorized official phone:** (770) 654-4878

## Contact information

- **Practice address:** 3 WASHINGTON AVE, SUITE A, GAINESVILLE, GA 30501-4100
- **Practice address phone:** (770) 654-4878
- **Mailing address:** 3 WASHINGTON AVE, SUITE A, GAINESVILLE, GA 30501
- **Mailing address phone:** (770) 654-4878

## Taxonomy

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

## Other

- **Enumeration date:** 11/08/2012
- **Last updated:** 11/08/2012