Organization Name: | HIRAM IMAGING, LLC |
NPI Number: | 1023405438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT ARANT (PRESIDENT) |
Mailing Address: | 4374 Atlanta Hwy Suites 125 And 127 Hiram |
State: | GA US |
Postal Code: | 301411847 |
Phone Number: | 4042965887 |
Fax Number: | 4042963129 |
NPI Enumeration Date: | 04/23/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |