Provider Demographics
NPI:1386895274
Name:INTEGRAL SCAN
Entity type:Organization
Organization Name:INTEGRAL SCAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SONOGRAPHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:770-478-3700
Mailing Address - Street 1:9442 S MAIN ST STE 118
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-6073
Mailing Address - Country:US
Mailing Address - Phone:770-478-3700
Mailing Address - Fax:770-478-3300
Practice Address - Street 1:9442 S MAIN ST STE 118
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-6073
Practice Address - Country:US
Practice Address - Phone:770-478-3700
Practice Address - Fax:770-478-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA33484261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile