Physician Diagnostic Services LLC
Physician Diagnostic Services LLC is a healthcare organization registered as Physiological Laboratory in Conyers, GA, holding Type 2 (organization) NPI 1871592501 since 2005. The authorized official on file is Angela Nauful, Vice President, Accounts Receivable.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1871592501 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Physician Diagnostic Services LLC |
| Other name | <Unavail> |
| Practice address | 2425 WALL ST SE, Conyers, GA, 30013 |
| Phone | 6784871266 |
| Fax | 2403718541 |
| Enumeration date | 2005-07-15 |
| Last updated in NPPES | 2008-04-29 |
Authorized official
| Name | Angela Nauful |
|---|---|
| Title | Vice President, Accounts Receivable |
| Phone | 6784871266 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 293D00000X | Physiological Laboratory | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019144200 | Medicaid | MN | — |
Copy-ready billing details
Provider: Physician Diagnostic Services LLC NPI: 1871592501 Taxonomy: 293D00000X (Physiological Laboratory) Address: 2425 WALL ST SE, Conyers, GA, 30013
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942016464 | Shining Hearts Aba | Organization | Behavior Analyst | Conyers, GA |
Verify this record
Cross-check NPI 1871592501 against the authoritative CMS record: view Physician Diagnostic Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Physician Diagnostic Services LLC?
What is the NPI number for Physician Diagnostic Services LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-29.