| NPI | 1255339107 |
|---|---|
| Doing Business As | LIFETEST IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | LEE GALLAGHER Executive Director 770-730-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: GA BL02-11466) |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: GA BL02-11466) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |