Organization
SOUTHERN DIAGNOSTIC TESTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAM FERRARO JR. (MANAGING PARTNER)
(770) 654-4878
Entity
Organization
Contact information
Practice address
3 WASHINGTON AVE, SUITE A, GAINESVILLE, GA 30501-4100
(770) 654-4878
Mailing address
3 WASHINGTON AVE, SUITE A, GAINESVILLE, GA 30501
(770) 654-4878
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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