Summit Imaging Services LLC

NPI 1134984982ActiveOrganization· Radiology, Diagnostic Radiology· Cartersville, GA

Radiology, Diagnostic Radiology in Cartersville, Georgia, registered in NPPES in February 2024. The authorized official on file is Minh Le, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1134984982
Status	Active
Entity type	Organization
NPI issued	Feb 20, 2024
Last updated in NPPES	Mar 8, 2024
Certified by provider	Mar 8, 2024

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—
Radiology, Neuroradiology	2085N0700X	—	—
Radiology, Vascular & Interventional Radiology	2085R0204X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

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