OrganizationActive
Pet Imaging Center of Gwinnett LLC
NPI 1750699005 · Radiology Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1750699005
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Trident Medical Imaging
- Organization subpart
- Yes
- Authorized official
- Crystal Gates, Director of Patient Accounts(770) 692-1387
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
555 Old Norcross Rd
115
Lawrenceville, GA 30046-8716
Phone: (770) 277-0501
Fax: (770) 277-4324
Street-level locationGet directions
Mailing address
1275 Highway 54 W
Fayetteville, GA 30214-4549
Other names (DBA / former)
- Doing business as
- Trident Medical Imaging- Gwinnett
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2010-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.