VIDALIA IMAGING ASSOCIATES, LLC – NPI #1720102361
Radiology

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

VIDALIA IMAGING ASSOCIATES, LLC is a radiologist located in VIDALIA, GA. NPPES has assigned the NPI number 1720102361 to VIDALIA IMAGING ASSOCIATES, LLC on March 19, 2007. 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 19 years ago on Jul 10, 2007. 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 IMAGING ASSOCIATES, LLC below.

NPI Profile for
VIDALIA IMAGING ASSOCIATES, LLC

NPI Number
1720102361
Enumeration Date

(more than 19 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 IMAGING ASSOCIATES, LLC
Primary location
1703 MEADOWS LN
VIDALIA, GA 30474-8915
Phone: (912) 537-8921 Fax:
Mailing address
PO BOX 13220
SAVANNAH, GA 31416-0220
Phone: (912) 355-8188 Fax: (912) 356-6970
Organization Subpart
No
Authorized Official
BRENDA SPARKS
MANAGER
Phone: (912) 355-8267
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)

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.