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SOURCE DIAGNOSTICS OF GEORGIA, LLC
NPI 1477819183
Clinic/Center - Radiology, Mobile in Macon, GA

Active since April 06, 2012
5559 THOMASTON RD, MACON, GA 31220(478) 405-7015 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Source Diagnostics Of Georgia, Llc NPPES

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

SOURCE DIAGNOSTICS OF GEORGIA, LLC (NPI 1477819183) is a healthcare organization registered as a radiology, mobile in Macon, Georgia and active in the NPI registry since April 2012. The organization lists Kathleen A Barry, Coo, as its authorized official.

NPPES Registry Identity

NPI1477819183
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NameSOURCE DIAGNOSTICS OF GEORGIA, LLC
Location Address5559 THOMASTON RDMacon, GA 31220-8120
Mailing Address5275 Naiman Pkwy, Ste ESolon, OH 44139-1029 · (440) 542-1515
Phone(478) 405-7015
Organization SubpartNo
Authorized OfficialKathleen A BarryCoo · (440) 645-7822
Enumeration DateApril 6, 2012
✔ NPI 1477819183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
5559 THOMASTON RD, Macon, GA 31220
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Other Identifiers 1

Medicare PINPENDINGGA

Other Providers at the Same Location NPPES

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

SOURCE DIAGNOSTICS OF GEORGIA, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
5559 THOMASTON RD
MACON, GA 31220
Bibb County (478) 405-7015

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 Source Diagnostics Of Georgia, LLC's NPI number?

The NPI number for Source Diagnostics Of Georgia, LLC is 1477819183. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Source Diagnostics Of Georgia, LLC located?

Source Diagnostics Of Georgia, LLC is located at 5559 Thomaston Rd, Macon, GA 31220. The listed phone number is (478) 405-7015.

What is Source Diagnostics Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

When was this NPI record last updated?

The NPPES record for Source Diagnostics Of Georgia, LLC was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.