P E T Imaging of Gwinnett LLC

NPI #1841285392 in Lawrenceville, Georgia

Provider Information

NPI Number: 1841285392
Entity Type: Organization
Organization Name: P E T Imaging of Gwinnett LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TRIDENT MOLECULAR IMAGING, LLC
Primary Specialty: Radiology - Body Imaging
Enumeration Date: Sep 12, 2005
Last Updated: Apr 10, 2012

Practice Location

Address: 545 OLD NORCROSS RD
Address 2: STE 200
City: Lawrenceville
State: Georgia
ZIP Code: 30045-3389
Phone: (770) 719-3754

Authorized Official

Name: GUY A MESSER
Title: CFO
Phone: (770) 692-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary

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