Provider Demographics
NPI:1790518892
Name:AMERA IMAGING ALPHARETTA LLC
Entity type:Organization
Organization Name:AMERA IMAGING ALPHARETTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-948-7765
Mailing Address - Street 1:4100 OLD MILTON PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4701
Mailing Address - Country:US
Mailing Address - Phone:678-528-1280
Mailing Address - Fax:678-748-3510
Practice Address - Street 1:4100 OLD MILTON PKWY STE 150
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4701
Practice Address - Country:US
Practice Address - Phone:678-528-1280
Practice Address - Fax:678-748-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)