Organization Name: | GEORGIA DIAGNOSTICS SERVICES |
NPI Number: | 1427452952 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID L FACTOR (OWNER) |
Mailing Address: | 301 Yamato Rd Suite 1100 Boca Raton |
State: | FL US |
Postal Code: | 334314917 |
Phone Number: | 8552008262 |
Fax Number: | 8554008262 |
NPI Enumeration Date: | 10/13/2014 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 56829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |