Provider Demographics
NPI:1336249903
Name:REED IMAGING SERVICES, LLC
Entity Type:Organization
Organization Name:REED IMAGING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-386-4347
Mailing Address - Street 1:PO BOX 200036
Mailing Address - Street 2:98 DEAN RD., S.E.
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-9001
Mailing Address - Country:US
Mailing Address - Phone:770-386-4347
Mailing Address - Fax:770-386-4347
Practice Address - Street 1:15 MEDICAL DR NE
Practice Address - Street 2:SUITE 102
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-8003
Practice Address - Country:US
Practice Address - Phone:770-386-4347
Practice Address - Fax:770-386-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-24
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPENDING261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology