Provider Demographics
NPI:1346301470
Name:COMPLETE HEALTH DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:COMPLETE HEALTH DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-777-1868
Mailing Address - Street 1:4550 N POINT PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-2445
Mailing Address - Country:US
Mailing Address - Phone:770-777-1868
Mailing Address - Fax:770-777-1872
Practice Address - Street 1:12 SAMMY MCGHEE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-7711
Practice Address - Country:US
Practice Address - Phone:706-253-6553
Practice Address - Fax:706-253-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511G470006Medicare PIN