| Organization Name: | RADIOLOGY SPECIALTY LLC |
| NPI Number: | 1467729947 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN J LEWIS (OWNER) |
| Mailing Address: | 5434 Emily Cir Ellenwood |
| State: | GA US |
| Postal Code: | 302944326 |
| Phone Number: | 4047848792 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 11/28/2011 |
| 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: | |