NPI age
20 years
Enumerated 2005-07-15
● Active Type 2 · Organization
Physician Diagnostic Services Llc
Physician Diagnostic Services Llc is 1 of 44 physiological laboratory organizations in Georgia.
Primary specialty
Physiological Laboratory
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nauful
Vice President, Accounts Receivable
Last NPPES update
2008-04-29
Source: monthly bulk 2026-05
How this organization compares
Across 44 active physiological laboratory providers in Georgia.
NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
2425 Wall St Se
Conyers, GA 300136342
Mailing address
2425 Wall St Se
Conyers, GA 300136342
Authorized official
Angela Marie Nauful
Vice President, Accounts Receivable
📞 6784871266
Specialties
-
Physiological Laboratory PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MN) | 019144200 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PDSHeart
Practice context
Single-site organization. Only one practice location on file.
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