Organization
GEORGIA STATE DIAGNOSTICS LLC
Active
Parent organization
NATIONAL DIAGNOSTIC SOLUTIONS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL DIAGNOSTIC SOLUTIONS LLC
Authorized official
KEITH FERNANDEZ (MANAGER)
(407) 474-9253
Entity
Organization
Contact information
Practice address
3379 PEACHTREE RD NE, SUITE 555, ATLANTA, GA 30326-1031
(407) 474-9253
Mailing address
3379 PEACHTREE RD NE, SUITE 555, ATLANTA, GA 30326-1031
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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