Organization
LIFETEST OF GEORGIA, LLC
Active
Other names
Lifetest Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE GALLAGHER (EXECUTIVE DIRECTOR)
(770) 730-0119
Entity
Organization
Contact information
Practice address
1140 HAMMOND DR NE, BUILDING I, STE 9120, ATLANTA, GA 30328-5338
(770) 730-0119
(770) 730-0114
Mailing address
1140 HAMMOND DR NE, BUILDING I, STE 9120, ATLANTA, GA 30328-5338
(770) 730-0119
(770) 730-0114
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
BL02-11466
GA
261QR0206X
Mammography Clinic/Center
Primary
BL02-11466
GA
Other
Enumeration date
07/13/2005
Last updated
09/11/2025
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