NPI age
20 years
Enumerated 2006-05-12
● Active Type 2 · Organization
Albany Diagnostic Center, Llc
Albany Diagnostic Center, Llc is 1 of 30 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gray
Owner/ceo
Last NPPES update
2010-04-05
Source: monthly bulk 2026-05
How this organization compares
Across 30 active clinic/center providers in Georgia.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2624 Dawson Rd
Albany, GA 317071609
Mailing address
1069 Baxter Street, Suite C
Athens, GA 30606
Authorized official
Richard L. Gray
Owner/ceo
📞 7063541036
Individual providers at this organization
6 individual providers on file at this primary practice address.
- David Costantino, MD Radiology NPI 1518167725
- Nicholas Gutierrez, M.D. Radiology NPI 1457643033
- Michael Im, M.D. Radiology NPI 1710154794
- Jack Lake, D.O. Radiology NPI 1932248101
- Robert Stickle, MD Radiology NPI 1255320685
- Steven Ullrick, M.D. Radiology NPI 1871536482
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.