P Praxis·MD
● Active Type 2 · Organization

Technical Diagnostic Imaging, Llc

Physiological Laboratory·Statesboro, GA· NPI 1619053295 · Enumerated 2006 · 19 years on NPI
Technical Diagnostic Imaging, Llc is 1 of 44 physiological laboratory organizations in Georgia.
NPI age
19 years
Enumerated 2006-10-27
Primary specialty
Physiological Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Billing Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 44 active physiological laboratory providers in Georgia.

NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
8 Lester Rd
Statesboro, GA 304584786
📞 9127645656fax 9127647522
Mailing address
8 Lester Rd
Statesboro, GA 304584786
📞 9127645656fax 9127647522

Authorized official

Beth C Wilson
Billing Manager
📞 9127645656

Specialties

  • Physiological Laboratory Primary
    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...
    taxonomy 293D00000X

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 44 Physiological Laboratory providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related