Provider Demographics
NPI:1730485269
Name:DIRECT MEDICAL IMAGING
Entity Type:Organization
Organization Name:DIRECT MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:DARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-718-8020
Mailing Address - Street 1:999 CHESTNUT ST SE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-6956
Mailing Address - Country:US
Mailing Address - Phone:770-718-8020
Mailing Address - Fax:
Practice Address - Street 1:999 CHESTNUT ST SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-6956
Practice Address - Country:US
Practice Address - Phone:770-718-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)