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CANTON SPECIALTY IMAGING, LLC
NPI 1457640831
Specialist in Canton, GA

Active since April 06, 2011
200 OAKSIDE LN, SUITE A, CANTON, GA 30114(770) 479-1945(770) 479-1948 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canton Specialty Imaging, Llc NPPES

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

CANTON SPECIALTY IMAGING, LLC (NPI 1457640831) is a healthcare organization registered as a specialist in Canton, Georgia and active in the NPI registry since April 2011. The organization lists Bradley R Peters, Member/medical Director, as its authorized official.

NPPES Registry Identity

NPI1457640831
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCANTON SPECIALTY IMAGING, LLC
Location Address200 OAKSIDE LN, SUITE ACanton, GA 30114-6416
Mailing Address200 Oakside Ln, Suite ACanton, GA 30114-6416 · (770) 479-1945 · Fax (770) 479-1948
Phone(770) 479-1945
Fax(770) 479-1948
Organization SubpartNo
Authorized OfficialBradley R PetersMember/medical Director · (770) 479-1945
Enumeration DateApril 6, 2011
✔ NPI 1457640831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 051890
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
200 OAKSIDE LN, Canton, GA 30114
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

KENNESTONE HEART PHYSICIANS GROUP
Internal Medicine (Cardiovascular Disease)
200 OAKSIDE LN, SUITE D
CANTON, GA 30114
Cherokee County (770) 426-4721
DR. TERU KAY LAPAQUETTE M.D.
Obstetrics & Gynecology
200 OAKSIDE LN, SUITE D
CANTON, GA 30114
Cherokee County (770) 720-1326
IMAGING ASSOCIATES OF CANTON
Clinic/Center (Radiology)
200 OAKSIDE LN, SUITE A
CANTON, GA 30114
Cherokee County (770) 479-1945

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 Canton Specialty Imaging, LLC's NPI number?

The NPI number for Canton Specialty Imaging, LLC is 1457640831. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is Canton Specialty Imaging, LLC located?

Canton Specialty Imaging, LLC is located at 200 Oakside Ln Suite A, Canton, GA 30114. The listed phone number is (770) 479-1945.

What is Canton Specialty Imaging, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Canton Specialty Imaging, LLC was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.