SOURCE DIAGNOSTICS OF GEORGIA, LLC
NPI 1700190105
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Macon, GA

Q: What is Source Diagnostics Of Georgia, LLC's NPI number?

The NPI number for Source Diagnostics Of Georgia, LLC is 1700190105. It was assigned to this organization in the NPPES registry on July 28, 2010.

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

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Active since July 28, 2010

5559 THOMASTON RD, MACON, GA 31220(478) 405-7015 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1700190105) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Macon, Georgia and active in the NPI registry since July 2010. The organization lists Kathleen A Barry, Coo, as its authorized official.

NPPES Registry Identity

NPI1700190105

Entity TypeOrganization

Primary Taxonomy335V00000X

Legal Business NameSOURCE DIAGNOSTICS OF GEORGIA, LLC

Location Address5559 THOMASTON RDMacon, GA 31220-8120

Mailing Address5275 Naiman Pkwy, Suite ESolon, OH 44139-1029 · (440) 542-1515

Phone(478) 405-7015

Organization SubpartNo

Authorized OfficialKathleen A BarryCoo · (440) 645-7822

Enumeration DateJuly 28, 2010

Last NPPES UpdateMarch 28, 2012

✔ NPI 1700190105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers

Taxonomy Code335V00000X

Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

5559 THOMASTON RD, Macon, GA 31220

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Other Identifiers 1

Medicare PIN202G635356GA

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

Clinic/Center (Radiology, Mobile)

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 1700190105. It was assigned to this organization in the NPPES registry on July 28, 2010.

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 Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Source Diagnostics Of Georgia, LLC was last updated on March 28, 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.