| Platinum Diagnostic Solutions LLC | |
|
3210 Stacy Ln Ellenwood GA 30294-2483 | |
| (229) 212-2280 | |
| Not Available |
| Full Name | Platinum Diagnostic Solutions LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3210 Stacy Ln, Ellenwood, Georgia |
| Authorized Official Name and Position | Fannie Lashaun Mcmillian (OWNER) |
| Authorized Official Contact | 2292122280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Diagnostic Solutions LLC 3210 Stacy Ln Ellenwood GA 30294-2483 Ph: (229) 212-2280 | Platinum Diagnostic Solutions LLC 3210 Stacy Ln Ellenwood GA 30294-2483 Ph: (229) 212-2280 |
| NPI Number | 1679492920 |
|---|---|
| Provider Enumeration Date | 07/13/2026 |
| Last Update Date | 07/13/2026 |
| Certification Date | 07/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679492920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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