OrganizationActive
Technical Diagnostic Imaging, LLC
NPI 1619053295 · Physiological Laboratory · Statesboro, GA
Technical Diagnostic Imaging, LLC is a Physiological Laboratory organization in Statesboro, GA (NPI 1619053295).
Provider details
- NPI number
- 1619053295
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Beth Wilson, Billing Manager(912) 764-5656
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8 Lester Rd
Statesboro, GA 30458-4786
Phone: (912) 764-5656
Fax: (912) 764-7522
Street-level locationGet directions
Mailing address
8 Lester Rd
Statesboro, GA 30458-4786
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Technical Diagnostic Imaging, LLC's NPI number?
- Technical Diagnostic Imaging, LLC's National Provider Identifier (NPI) is 1619053295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Technical Diagnostic Imaging, LLC?
- Technical Diagnostic Imaging, LLC is classified in the NPPES registry as Physiological Laboratory (Laboratories).
- Where is Technical Diagnostic Imaging, LLC located?
- Technical Diagnostic Imaging, LLC's practice location on file with NPPES is 8 Lester Rd, Statesboro, GA 30458-4786.
- What is Technical Diagnostic Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Technical Diagnostic Imaging, LLC is (912) 764-5656.
- Who is the authorized official for Technical Diagnostic Imaging, LLC?
- The authorized official listed on Technical Diagnostic Imaging, LLC's NPPES record is Beth Wilson, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Technical Diagnostic Imaging, LLC's NPI active?
- Yes — Technical Diagnostic Imaging, LLC's NPI (1619053295) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.