Organization Name: | JHL IMAGING SERVICES LLC |
NPI Number: | 1154691715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID LAWSON (OPERATIONS) |
Mailing Address: | 1836 Ballybunion Dr Johns Creek |
State: | GA US |
Postal Code: | 300972081 |
Phone Number: | 6782430581 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2012 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |