TRIDENT MEDICAL IMAGING- GWINNETT
NPI 1750699005
Clinic/Center - Radiology in Lawrenceville, GA

Active since September 21, 2010
555 OLD NORCROSS RD, 115, LAWRENCEVILLE, GA 30046(770) 277-0501(770) 277-4324 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trident Medical Imaging- Gwinnett NPPES

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

TRIDENT MEDICAL IMAGING- GWINNETT (NPI 1750699005) is a healthcare organization registered as a radiology in Lawrenceville, Georgia and active in the NPI registry since September 2010. The organization lists Crystal Gates, Director Of Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1750699005
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePET IMAGING CENTER OF GWINNETT LLC
Location Address555 OLD NORCROSS RD, 115Lawrenceville, GA 30046-8716
Mailing Address1275 Highway 54 W, 103Fayetteville, GA 30214-4549 · (770) 692-1387 · Fax (770) 692-2373
Fax(770) 277-4324
Organization SubpartYesParent: Trident Medical Imaging
Authorized OfficialCrystal GatesDirector Of Patient Accounts · (770) 692-1387
Enumeration DateSeptember 21, 2010
NPI 1750699005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
555 OLD NORCROSS RD, Lawrenceville, GA 30046

Other Names 1

Doing Business AsTrident Medical Imaging- Gwinnett

Other Providers at the Same Location NPPES 4

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

Pediatrics
555 OLD NORCROSS RD, STE 210
LAWRENCEVILLE, GA 30046
Pediatrics
555 OLD NORCROSS RD, SUITE 210
LAWRENCEVILLE, GA 30046
Pediatrics
555 OLD NORCROSS RD, SUITE 210
LAWRENCEVILLE, GA 30046
Internal Medicine
555 OLD NORCROSS RD, SUITE 100
LAWRENCEVILLE, GA 30046

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 Pet Imaging Center Of Gwinnett LLC's NPI number?

The NPI number for Pet Imaging Center Of Gwinnett LLC is 1750699005. It was assigned to this organization in the NPPES registry on September 21, 2010. The provider is doing business as Trident Medical Imaging- Gwinnett.

Where is Pet Imaging Center Of Gwinnett LLC located?

Pet Imaging Center Of Gwinnett LLC is located at 555 Old Norcross Rd 115, Lawrenceville, GA 30046. The listed phone number is (770) 277-0501.

What is Pet Imaging Center Of Gwinnett LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Pet Imaging Center Of Gwinnett LLC was last updated on September 21, 2010. 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.