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Organization

OPTIMUS ULTRASOUND LLC

Active
Parent organization
OPTIMUS DIAGNOSTICS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OPTIMUS DIAGNOSTICS LLC
Authorized official
MRS. DIANA WILKS (SENIOR VICE PRESIDENT)
(478) 621-2100
Entity
Organization

Contact information

Practice address
252 HOLT AVE, MACON, GA 31201-1227
(478) 742-4098
(877) 455-7176
Mailing address
1005 BOULDER DR, GRAY, GA 31032-6141
(478) 621-2100
(478) 744-0481

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary

Other

Enumeration date
10/05/2015
Last updated
08/30/2016
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