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Organization

ALBANY DIAGNOSTIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD L. GRAY (OWNER/CEO)
(706) 354-1036
Entity
Organization

Contact information

Practice address
2624 DAWSON RD, ALBANY, GA 31707-1609
(229) 888-1624
(229) 888-1457
Mailing address
1069 BAXTER STREET, SUITE C, ATHENS, GA 30606
(706) 354-1036
(706) 354-0529

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center

Other

Enumeration date
05/12/2006
Last updated
04/05/2010
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