Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Source Diagnostics of Georgia, LLC

Organization Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI 1700190105

Source Diagnostics of Georgia, LLC is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Macon, Georgia. Registered with an NPI since 2010.

In the registry since
2010
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

5559 Thomaston Rd
Macon, GA 31220-8120
Phone: (478) 405-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary) Taxonomy 335V00000X

Record details

NPI number1700190105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Barry — Coo · (440) 645-7822
NPI enumeratedJuly 28, 2010
Last updated in NPPESMarch 28, 2012
Mailing address5275 Naiman Pkwy, Suite E, Solon, OH 44139-1029

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