VIDALIA RADIOLOGY ASSOCIATES – NPI #1659353936
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

VIDALIA RADIOLOGY ASSOCIATES is a radiologist located in VIDALIA, GA. NPPES has assigned the NPI number 1659353936 to VIDALIA RADIOLOGY ASSOCIATES on November 14, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VIDALIA RADIOLOGY ASSOCIATES below.

NPI Profile for
VIDALIA RADIOLOGY ASSOCIATES

NPI Number
1659353936
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VIDALIA RADIOLOGY ASSOCIATES
Primary location
1703 MEADOWS LN
VIDALIA, GA 30474-8915
Phone: (800) 382-4023 Fax:
Mailing address
PO BOX 2049
MOULTRIE, GA 31776-2049
Phone: (800) 382-4023 Fax:
Organization Subpart
No
Authorized Official
TOSAPORN KRASAEATH
PRESIDENT
Phone: (800) 382-4023
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.