ELITE MRI OF LAURENS, LLC (NPI# 1699860130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699860130 |
| Entity Type | Organization |
| Organization Name | ELITE MRI OF LAURENS, LLC |
| Practice Address |
113 Fairview Park Drive #a Dublin GA 31021 |
| Mailing Address |
P.o. Box 4003 Macon GA 31208 |
| Practice Telephone | 4782758895 |
| Practice Fax Number | 4782758896 |
| Mailing Telephone | 4787559966 |
| Mailing Fax Number | 4787559964 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | PETER O HOLLIDAY III (DIRECTOR) |
| Authorized Official Telephone | 4782758895 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
113 FAIRVIEW PARK DRIVE #A |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760634794 | Northwest Mri, LLC | Clinic/Center | 4995 Bradenton Ave, Suite 100, Dublin, OH 43017-3543 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922567 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr # 101, Savannah, GA 31405-5518 | 2020-08-10 |
| 1093372666 | James Zimmerman Md | Clinic/Center | 6050 Peachtree Pkwy Ste 400, Peachtree Corners, GA 30092-3477 | 2019-05-20 |
| 1730485269 | Direct Medical Imaging | Clinic/Center | 999 Chestnut St Se, Gainesville, GA 30501-6956 | 2011-02-01 |
| 1689983777 | Peachtree Mri LLC | Clinic/Center | 1380 Carlysle Park Dr, Lawrenceville, GA 30044-2249 | 2010-10-06 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| 1619199932 | Presgar Imaging of Augusta, LLC | Clinic/Center | 3610 Wheeler Road, Augusta, GA 30909 | 2007-05-03 |
| 1285701482 | Orthopedic Center PC | Clinic/Center | 1601 Fair Rd Ste 1100, Statesboro, GA 30458-0801 | 2006-11-30 |
| 1205886348 | Royston Diagnostic Center, LLC | Clinic/Center | 930 Franklin Springs St, Royston, GA 30662-3908 | 2006-05-11 |
| 1386609303 | Diagnostic Imaging Solutions | Clinic/Center | 2140 Buford Hwy, Suite 108, Buford, GA 30518-6120 | 2006-04-20 |
| 1679542526 | Open Mri of Tifton LLC | Clinic/Center | 1401 Tift Ave, Ste E, Tifton, GA 31794-3585 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.