Radiology Specialty LLC

NPI #1467729947 in Ellenwood, Georgia

Provider Information

NPI Number: 1467729947
Entity Type: Organization
Organization Name: Radiology Specialty LLC
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Nov 28, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 5434 EMILY CIR
City: Ellenwood
State: Georgia
ZIP Code: 30294-4326
Phone: (404) 784-8792

Authorized Official

Name: MR. KEVIN J LEWIS, RT
Title: OWNER
Phone: (404) 784-8792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology, Mobile — Radiology, Mobile	261QR0208X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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