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MR. GEORGE EMMETT PETTY III ARRT (R) (M) (CT)
NPI 1336356120
Radiologic Technologist - Computed Tomography in Fremont, NE

Active since May 17, 2007
2155 E 23RD AVE S STE A, FREMONT, NE 68025(866) 784-2329 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. George Emmett Petty Iii Arrt (r) (m) (ct) NPPES

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

MR. GEORGE EMMETT PETTY III ARRT (R) (M) (CT) (NPI 1336356120) is an individual computed tomography provider in Fremont, Nebraska, licensed in California (RHF 77185) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336356120
Entity TypeIndividualMale
Primary Taxonomy2471C3401X
Provider Legal NameMR. GEORGE EMMETT PETTY IIICredential: ARRT (R) (M) (CT)
Location Address2155 E 23RD AVE S STE AFremont, NE 68025-7849
Mailing Address1613 Summit DrWaynesboro, VA 22980-5231 · (931) 623-0979
Phone(866) 784-2329
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1336356120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiologic Technologist · Computed TomographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471C3401X
Licenses✔ Licensed in CA · RHF 77185✔ Licensed in VA · 0120004623✔ Licensed in TN · 5381✔ Licensed in OH · R8858280✔ Licensed in NY · 363923✔ Licensed in NJ · 639310✔ Licensed in MD · R0007930✔ Licensed in KY · 10-121-14015
Definition

A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care.

Also ListedRadiologic Technologist · Magnetic Resonance ImagingTaxonomy 2471M1202X · License 0120004623 (VA), 5381 (TN), R8858280 (OH), 363923 (NY), 639310 (NJ), R0007930 (MD), 5302 (DE)
2155 E 23RD AVE S STE A, Fremont, NE 68025
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Frequently Asked Questions

What is George Petty's NPI number?

The NPI number assigned to this healthcare provider is 1336356120, enumerated as an "individual" on May 17, 2007.

Where is the provider located?

The provider is located at 2155 E 23RD AVE S STE A FREMONT, NE 68025 and the phone number is (866) 784-2329.

What is the provider's specialty?

Radiologic Technologist with taxonomy code 2471C3401X and a focus in Computed Tomography.