Provider Demographics
NPI:1932473998
Name:L&R IMAGING INC.
Entity Type:Organization
Organization Name:L&R IMAGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLEDAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-685-1727
Mailing Address - Street 1:2175 NORTHLAKE PKWY
Mailing Address - Street 2:BUILDING 4 SUITE 129
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4163
Mailing Address - Country:US
Mailing Address - Phone:770-685-1727
Mailing Address - Fax:
Practice Address - Street 1:2175 NORTHLAKE PKWY
Practice Address - Street 2:BUILDING 4 SUITE 129
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4163
Practice Address - Country:US
Practice Address - Phone:770-685-1727
Practice Address - Fax:770-733-1674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QM1200X261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)