Physician Diagnostic Services LLC
NPI 1871592501ActiveOrganization· Physiological Laboratory· Conyers, GA
Physiological Laboratory in Conyers, Georgia, registered in NPPES in July 2005. The authorized official on file is Angela Marie Nauful, Vice President, Accounts Receivable.
Overview
| NPI | 1871592501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2005 |
| Last updated in NPPES | Apr 29, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|