Physician Diagnostic Services Llc
Physiological Laboratory
2425 Wall St Se, Conyers
Georgia, 30013-6342
678-487-1266 240-371-8541
Physician Diagnostic Services Llc is a Physiological Laboratory in Conyers, Georgia. It is located at 2425 Wall St Se, Conyers and it's customer support contact number is 678-487-1266. The authorized person of Physician Diagnostic Services Llc is Angela Marie Nauful who is Vice President, Accounts Receivable of this DME and his contact number is 678-487-1266.
Physician Diagnostic Services Llc is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
DME Supplier Details:
Physician Diagnostic Services Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Physician Diagnostic Services Llc |
| Type: | Physiological Laboratory |
| Location: | 2425 Wall St Se, Conyers,
Georgia, 30013-6342 |
| Phone: | 678-487-1266 |
| Fax: | 240-371-8541 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Angela Marie Nauful |
| Position: | Vice President, Accounts Receivable |
| Contact Number: | 678-487-1266 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1871592501 |
| NPI Enumeration Date: | 15 Jul, 2005 |
| NPI Last Update On: | 29 Apr, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Physician Diagnostic Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Physiological Laboratory | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 019144200 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2425 Wall St Se,
Conyers, Georgia |
| Zip: | 30013-6342 |
| Phone Number: | 678-487-1266 |
| Fax Number: | 240-371-8541 |
Patients can reach Physician Diagnostic Services Llc at
2425 Wall St Se, Conyers, Georgia or can
call on customer care at 678-487-1266.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.