OrganizationActive
Lifetest of Georgia, LLC
NPI 1255339107 · Mammography Clinic/Center · Atlanta, GA
Provider details
- NPI number
- 1255339107
- Entity type
- Organization
- Primary specialty
- Mammography Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Gallagher, Executive Director(770) 730-0119
- License
- BL02-11466 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1140 Hammond Dr Ne
Building I, Ste 9120
Atlanta, GA 30328-5338
Phone: (770) 730-0119
Fax: (770) 730-0114
Approximate (ZIP-level) locationGet directions
Mailing address
1140 Hammond Dr Ne
Atlanta, GA 30328-5338
Other names (DBA / former)
- Doing business as
- Lifetest Imaging Center
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.