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PDSHEART
NPI 1871592501
Physiological Laboratory in Conyers, GA

Active since July 15, 2005
2425 WALL ST SE, CONYERS, GA 30013(678) 487-1266(240) 371-8541 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pdsheart NPPES

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

PDSHEART (NPI 1871592501) is a healthcare organization registered as a physiological laboratory in Conyers, Georgia and active in the NPI registry since July 2005. The organization lists Angela Marie Nauful, Vice President, Accounts Receivable, as its authorized official.

NPPES Registry Identity

NPI1871592501
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePHYSICIAN DIAGNOSTIC SERVICES LLC
Location Address2425 WALL ST SEConyers, GA 30013-6342
Mailing Address2425 Wall St SeConyers, GA 30013-6342 · (678) 487-1266 · Fax (240) 371-8541
Phone(678) 487-1266
Fax(240) 371-8541
Organization SubpartNo
Authorized OfficialAngela Marie NaufulVice President, Accounts Receivable · (678) 487-1266
Enumeration DateJuly 15, 2005
Last NPPES UpdateApril 29, 2008
✔ NPI 1871592501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2425 WALL ST SE, Conyers, GA 30013
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Other Names 1

Doing Business AsPdsheart

Other Identifiers 7

Medicare UPINX52212GA
Medicare ID-Type Unspecified47BBBDGGA · Idtf
Medicaid019144200MN
Medicare PIN470001486FL
Medicare PIN470000859GA
Medicare NSC5216680001FL
Medicare ID-Type UnspecifiedE6576FL · Idtf

Other Providers at the Same Location NPPES

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

SHINING HEARTS ABA
Behavior Analyst
2425 WALL ST SE
CONYERS, GA 30013
Rockdale County (845) 376-2226

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 Physician Diagnostic Services LLC's NPI number?

The NPI number for Physician Diagnostic Services LLC is 1871592501. It was assigned to this organization in the NPPES registry on July 15, 2005. The provider is doing business as Pdsheart.

Where is Physician Diagnostic Services LLC located?

Physician Diagnostic Services LLC is located at 2425 Wall St SE, Conyers, GA 30013. The listed phone number is (678) 487-1266.

What is Physician Diagnostic Services LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Physician Diagnostic Services LLC was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.