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MARIETTA IMAGING CENTER MARIETTA IMAGING AT NORTH COBB
NPI 1154371805
Radiology - Diagnostic Radiology in Marietta, GA

Active since May 12, 2006
780 CANTON ROAD NE, SUITE 230, MARIETTA, GA 30060(770) 792-1234(770) 424-1194 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marietta Imaging Center Marietta Imaging At North Cobb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIETTA IMAGING CENTER MARIETTA IMAGING AT NORTH COBB (NPI 1154371805) is a healthcare organization registered as a diagnostic radiology in Marietta, Georgia and active in the NPI registry since May 2006. The organization lists Mike Evertseb, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154371805
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMARIETTA DIAGNOSTIC CENTER, LLC
Location Address780 CANTON ROAD NE, SUITE 230Marietta, GA 30060-8928
Mailing Address780 Canton Road Ne, Suite 230Marietta, GA 30060-8928 · (770) 792-1234 · Fax (770) 424-1194
Phone(770) 792-1234
Fax(770) 424-1194
Organization SubpartYes
Authorized OfficialMike EvertsebCeo · (770) 792-1234
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 25, 2013
✔ NPI 1154371805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
780 CANTON ROAD NE, Marietta, GA 30060
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Other Names 1

Doing Business AsMarietta Imaging Center Marietta Imaging At North Cobb

Other Identifiers 3

Medicare ID-Type Unspecified47BBBFPGA
Medicaid764269020AGA
Medicare UPIN47BBBFGA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER KEITH RE M.D.
Neuromusculoskeletal Medicine & OMM
780 CANTON ROAD NE, SUITE 400
MARIETTA, GA 30060
Cobb County (770) 422-3602
DR. JOSEPH T HORMES M.D.
Neuromusculoskeletal Medicine & OMM
780 CANTON ROAD NE, SUITE 400
MARIETTA, GA 30060
Cobb County (770) 422-3602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marietta Diagnostic Center, LLC's NPI number?

The NPI number for Marietta Diagnostic Center, LLC is 1154371805. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Marietta Imaging Center Marietta Imaging At North Cobb.

Where is Marietta Diagnostic Center, LLC located?

Marietta Diagnostic Center, LLC is located at 780 Canton Road NE Suite 230, Marietta, GA 30060. The listed phone number is (770) 792-1234.

What is Marietta Diagnostic Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Marietta Diagnostic Center, LLC was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.