Provider Demographics
NPI:1891737490
Name:EAST COBB MRI CENTER
Entity Type:Organization
Organization Name:EAST COBB MRI CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-619-2767
Mailing Address - Street 1:4205 N POINT PKWY
Mailing Address - Street 2:BUILDING D
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8808
Mailing Address - Country:US
Mailing Address - Phone:770-619-2767
Mailing Address - Fax:770-619-2760
Practice Address - Street 1:1197 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2718
Practice Address - Country:US
Practice Address - Phone:770-971-7284
Practice Address - Fax:770-619-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA47BBBPLMedicare ID - Type UnspecifiedIDTF