Provider Demographics
NPI:1487957924
Name:PINNACLE DIAGNOSTIC AND DME SERVICES, LLC
Entity type:Organization
Organization Name:PINNACLE DIAGNOSTIC AND DME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-474-0006
Mailing Address - Street 1:3695 CASCADE RD SW
Mailing Address - Street 2:SUITE F126
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2173
Mailing Address - Country:US
Mailing Address - Phone:404-474-0006
Mailing Address - Fax:
Practice Address - Street 1:3890 REDWINE RD SW
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-5582
Practice Address - Country:US
Practice Address - Phone:404-474-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies