P Praxis·MD
● Active Type 2 · Organization

Source Diagnostics Of Georgia, Llc

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier·MacOn, GA· NPI 1700190105 · Enumerated 2010 · 15 years on NPI
Source Diagnostics Of Georgia, Llc is 1 of 37 portable x-ray and/or other portable diagnostic imaging supplier organizations in Georgia.
NPI age
15 years
Enumerated 2010-07-28
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Barry
Coo
Last NPPES update
2012-03-28
Source: monthly bulk 2026-05

How this organization compares

Across 37 active portable x-ray and/or other portable diagnostic imaging supplier providers in Georgia.

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

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
5559 Thomaston Rd
MacOn, GA 312208120
📞 4784057015
Mailing address
5275 Naiman Pkwy, Suite E
Solon, OH 441391029
📞 4405421515

Authorized official

Kathleen A Barry
Coo
📞 4406457822

Specialties

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary
    A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in...
    taxonomy 335V00000X

Practice context

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

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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.

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