Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lower Extremity Diagnostics, LLC

Organization Radiology Podiatrist · NPI 1770991861

Lower Extremity Diagnostics, LLC provides Radiology Podiatrist services in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6911 Tara Blvd
Jonesboro, GA 30236 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 477-9535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Podiatrist (primary) Taxonomy 213ER0200X · Licence POD000382 (GA)

Record details

NPI number1770991861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanley Kalish — Member · (770) 477-9535
NPI enumeratedAugust 1, 2014
Last updated in NPPESAugust 1, 2014
Mailing address6911 Tara Boulevard, Jonesboro, GA 30236

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