Organization
PCTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY ALEX ARANBAYEV (RT(R))
(404) 547-7483
Entity
Organization
Contact information
Practice address
1004 CARROLL CT, NORCROSS, GA 30071-5010
(404) 547-7483
Mailing address
1004 CARROLL CT, NORCROSS, GA 30071-5010
(404) 547-7483
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
07505
GA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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