Provider Demographics
NPI:1427485317
Name:WOMAN'S IMAGING GROUP, LLC
Entity type:Organization
Organization Name:WOMAN'S IMAGING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:P
Authorized Official - Last Name:LALAJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-946-9630
Mailing Address - Street 1:3340 PEACHTREE RD NE
Mailing Address - Street 2:SUITE 2025
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1000
Mailing Address - Country:US
Mailing Address - Phone:404-946-9630
Mailing Address - Fax:404-946-2869
Practice Address - Street 1:3340 PEACHTREE RD NE
Practice Address - Street 2:SUITE 2025
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1000
Practice Address - Country:US
Practice Address - Phone:404-946-9630
Practice Address - Fax:404-946-2869
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE RADIOLOGY GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty