SOUTHERN MOLECULAR IMAGING, LLC
NPI 1356584924
Radiology - Body Imaging in Woodstock, GA

Active since April 13, 2009
2001 PROFESSIONAL PKWY, SUITE 160, WOODSTOCK, GA 30188(912) 856-4032 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Body Imaging

About SOUTHERN MOLECULAR IMAGING, LLC

This page provides the complete NPI Profile along with additional information for Southern Molecular Imaging, Llc, a provider established in Woodstock, Georgia operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1356584924 assigned on April 2009. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. William C Lavely M.d. (Owner)

NPI
1356584924 Verify this NPI
Provider Name
SOUTHERN MOLECULAR IMAGING, LLC
Entity Type
Organization
Location Address
2001 PROFESSIONAL PKWY SUITE 160 WOODSTOCK, GA 30188
Location Phone
(912) 856-4032
Mailing Address
2001 PROFESSIONAL PKWY SUITE 160 WOODSTOCK, GA 30188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2009
Last Update Date
05-23-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Body Imaging

Taxonomy Code
2085B0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WILLIAM C LAVELY M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(912) 856-4032

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2001 PROFESSIONAL PKWY, SUITE 100
WOODSTOCK, GA 30188
Specialist
2001 PROFESSIONAL PKWY, SUITE 110
WOODSTOCK, GA 30188
Dietitian, Registered
2001 PROFESSIONAL PKWY, SUITE 200
WOODSTOCK, GA 30188
Occupational Therapist
2001 PROFESSIONAL PKWY
WOODSTOCK, GA 30188
Clinic/Center (Radiology)
2001 PROFESSIONAL PKWY, SUITE 160
WOODSTOCK, GA 30188
Occupational Therapist
2001 PROFESSIONAL PKWY
WOODSTOCK, GA 30188
Speech-Language Pathologist
2001 PROFESSIONAL PKWY
WOODSTOCK, GA 30188
Speech-Language Pathologist
2001 PROFESSIONAL PKWY
WOODSTOCK, GA 30188
Behavior Technician
2001 PROFESSIONAL PKWY
WOODSTOCK, GA 30188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356584924, enumerated as an "organization" on April 13, 2009.

The provider is located at 2001 PROFESSIONAL PKWY SUITE 160 WOODSTOCK, GA 30188 and the phone number is (912) 856-4032.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.