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PRO RADIOLOGY, LLC
NPI 1942733308
Clinic/Center - Radiology in Johns Creek, GA

Active since April 04, 2017CLIA 11D2146114 · Waiver
3921 JOHNS CREEK CT, SUITE B, JOHNS CREEK, GA 30024(770) 217-7414(770) 217-7142 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2024, Jul 19, 2018, Jun 13, 2017 (3 updates tracked since 2017).

About Pro Radiology, Llc NPPES

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

PRO RADIOLOGY, LLC (NPI 1942733308) is a healthcare organization registered as a radiology in Johns Creek, Georgia and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Katrina Roelle, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1942733308
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePRO RADIOLOGY, LLC
Location Address3921 JOHNS CREEK CT, SUITE BJohns Creek, GA 30024
Mailing AddressPo Box 746534Atlanta, GA 30374-6534
Phone(770) 217-7414
Fax(770) 217-7142
Organization SubpartNo
Authorized OfficialKatrina RoelleDirector Of Credentialing · (614) 689-1691
Enumeration DateApril 4, 2017
Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1942733308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
3921 JOHNS CREEK CT, Johns Creek, GA 30024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Mending Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2146114

Pro Radiology, LLC · Suwanee, GA
Active · expires Mar 21, 2028
CLIA Number11D2146114
Laboratory TypeOutpatient Radiology
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorJessica Dempsey
Laboratory Phone(770) 217-7141
Laboratory LocationPro Radiology, LLC3921 Johns Creek Court, Suite B, Suwanee, GA 30024
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

SYLVIA ALICE HUTCHINGS CRNA
Nurse Anesthetist, Certified Registered
3921 JOHNS CREEK CT
SUWANEE, GA 30024
Gwinnett County (678) 475-1606
AHP OF JOHN'S CREEK LLC
Anesthesiology
3921 JOHNS CREEK CT
SUWANEE, GA 30024
Gwinnett County (678) 475-1606
LIFETIME DENTISTRY
Dentist (General Practice)
3921 JOHNS CREEK CT, SUITE A
SUWANEE, GA 30024
Gwinnett County (770) 674-0226
DR. MICHAEL D BAINE D.M.D.
Dentist (General Practice)
3921 JOHNS CREEK CT, SUITE A
SUWANEE, GA 30024
Gwinnett County (678) 990-5980

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 Pro Radiology, LLC's NPI number?

The NPI number for Pro Radiology, LLC is 1942733308. It was assigned to this organization in the NPPES registry on April 4, 2017.

Where is Pro Radiology, LLC located?

Pro Radiology, LLC is located at 3921 Johns Creek Ct Suite B, Johns Creek, GA 30024. The listed phone number is (770) 217-7414.

What is Pro Radiology, LLC's specialty?

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

Does Pro Radiology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2146114) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pro Radiology, LLC accept?

Health plans from CareSource and Mending Health list Pro Radiology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pro Radiology, LLC was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.