Provider Demographics
NPI:1437816709
Name:818 DIAGNOSTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:818 DIAGNOSTIC SOLUTIONS LLC
Other - Org Name:818 DIAGNOSTIC SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-302-8241
Mailing Address - Street 1:2800 OLD DAWSON ROAD SUITE2 #275
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707
Mailing Address - Country:US
Mailing Address - Phone:229-302-8241
Mailing Address - Fax:762-266-1030
Practice Address - Street 1:235 WEST ROOSEVELT AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701
Practice Address - Country:US
Practice Address - Phone:229-302-8241
Practice Address - Fax:762-266-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No291U00000XLaboratoriesClinical Medical Laboratory