Organization
NORTHWEST DIAGNOSTIC IMAGING, INC
Active
Other names
Cumming Diagnostic Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
100 MOUNTAIN VIEW DR, SUITE 200, CUMMING, GA 30040-2434
(770) 205-8800
(770) 205-1966
Mailing address
PO BOX 932391, ATLANTA, GA 31193-2391
(678) 393-5600
(770) 300-9018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226870814
US DEPARTMENT OF LABOR
GA
01
—
CA0798
RAILROAD MEDICARE
GA
01
—
CH7800
RAILROAD MEDICARE
GA
01
—
DA0357
RAILROAD MEDICARE
GA
Enumeration date
11/10/2005
Last updated
09/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us