TECHNICAL DIAGNOSTIC IMAGING, LLC
NPI 1619053295
Physiological Laboratory in Statesboro, GA

Active since October 27, 2006
8 LESTER RD, STATESBORO, GA 30458(912) 764-5656(912) 764-7522 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Technical Diagnostic Imaging, Llc NPPES

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

TECHNICAL DIAGNOSTIC IMAGING, LLC (NPI 1619053295) is a healthcare organization registered as a physiological laboratory in Statesboro, Georgia and active in the NPI registry since October 2006. The organization lists Beth C Wilson, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1619053295
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameTECHNICAL DIAGNOSTIC IMAGING, LLC
Location Address8 LESTER RDStatesboro, GA 30458-4786
Mailing Address8 Lester RdStatesboro, GA 30458-4786 · (912) 764-5656 · Fax (912) 764-7522
Fax(912) 764-7522
Organization SubpartNo
Authorized OfficialBeth C WilsonBilling Manager · (912) 764-5656
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1619053295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

8 LESTER RD, Statesboro, GA 30458

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.

Physiological Laboratory
8 LESTER RD
STATESBORO, GA 30458
Physiological Laboratory
8 LESTER RD
STATESBORO, GA 30458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619053295, enumerated as an "organization" on October 27, 2006.

The provider is located at 8 LESTER RD STATESBORO, GA 30458 and the phone number is (912) 764-5656.

Physiological Laboratory with taxonomy code 293D00000X.