Marietta Diagnostic Center, LLC
NPI 1154371805 · Diagnostic Radiology Physician · Marietta, GA
Marietta Diagnostic Center, LLC is a Diagnostic Radiology Physician organization in Marietta, GA (NPI 1154371805).
Provider details
- NPI number
- 1154371805
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Marietta Diagnostic Center, LLC
- Organization subpart
- Yes
- Authorized official
- Mike Evertseb, Ceo(770) 792-1234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- Diagnostic Ultrasound Physician2085U0001X
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Marietta Imaging Center Marietta Imaging at North Cobb
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2013-04-25
Frequently asked questions
- What is Marietta Diagnostic Center, LLC's NPI number?
- Marietta Diagnostic Center, LLC's National Provider Identifier (NPI) is 1154371805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marietta Diagnostic Center, LLC?
- Marietta Diagnostic Center, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Marietta Diagnostic Center, LLC located?
- Marietta Diagnostic Center, LLC's practice location on file with NPPES is 780 Canton Road Ne, Marietta, GA 30060-8928.
- What is Marietta Diagnostic Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Marietta Diagnostic Center, LLC is (770) 792-1234.
- Who is the authorized official for Marietta Diagnostic Center, LLC?
- The authorized official listed on Marietta Diagnostic Center, LLC's NPPES record is Mike Evertseb, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marietta Diagnostic Center, LLC's NPI active?
- Yes — Marietta Diagnostic Center, LLC's NPI (1154371805) is active in the NPPES registry as of the last update on 2013-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.