| Organization Name: | DIAGNOSTIC IMAGING SERVICES |
| NPI Number: | 1083628523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SYVITA THOMPSON (BILLING MANAGER) |
| Mailing Address: | 4586 Timber Ridge Parkway Suite 100 Douglasville |
| State: | GA US |
| Postal Code: | 30134 |
| Phone Number: | 7704894600 |
| Fax Number: | 7704894645 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 0603636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |