CHILDERSBURG DIAGNOSTIC IMAGING, LLC (NPI# 1013195254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013195254 |
| Entity Type | Organization |
| Organization Name | CHILDERSBURG DIAGNOSTIC IMAGING, LLC |
| Practice Address |
34011 Us Highway 280 Childersburg AL 35044-2128 |
| Mailing Address |
Po Box 349 Childersburg AL 35044-0349 |
| Practice Telephone | 2563783313 |
| Mailing Telephone | 2563783313 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | MICHAEL T BICE (ADMINISTRATOR) |
| Authorized Official Telephone | 2563783313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | 11948 | AL | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851476261 | Childersburg Diagnostic Imaging, LLC | Physiological Laboratory | 30411 Hwy 280, Childersburg, AL 35178 | 2006-10-25 |
| Street Address |
34011 US HIGHWAY 280 |
| City | CHILDERSBURG |
| State | AL |
| Zip Code | 35044-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467470526 | Susan Deane Mccollum | Family Medicine | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2006-07-17 |
| 1235788373 | Orthosports Associates, LLC | Orthopaedic Surgery | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2019-09-11 |
| 1811430473 | Molly Andrews Ellis | Family Medicine | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2016-11-29 |
| 1669785010 | Diabetic and Wound Care Management Services LLC | General Practice | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2010-07-14 |
| 1356674741 | Mary Kathryn Reep Zicarelli | Registered Nurse | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2009-09-16 |
| 1982812079 | John Rogers Mcdaniel | Dentist | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2007-05-20 |
| 1053488544 | Coosa Eye Associates, P.C. | Optometrist | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2006-11-29 |
| 1609947993 | Jarod E Speer | Family Medicine | 34011 Us Highway 280, Suite A, Childersburg, AL 35044-2128 | 2006-11-10 |
| 1508936014 | P. Duncan Roy Jr. | Optometrist | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992935514 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-16 |
| 1477735983 | Summer Raye Karns Heard | Audiologist | 33605 Us Highway 280, Childersburg, AL 35044 | 2007-11-27 |
| 1073649737 | Scott Appell Md PC | Orthopaedic Surgery | 34401 Hwy 280, Childersburg, AL 35044 | 2007-02-26 |
| 1952484081 | Management and Medical Services, LLC | Family Medicine | 34011 Highway 280 East, Childersburg, AL 35044 | 2006-10-23 |
| 1790881787 | Wendy White Cleveland | Pharmacist | 33404 Us Hwy 280, Childersburg, AL 35044 | 2006-09-16 |
| 1508962507 | Arnold Larry Kirkland Jr. | Pharmacist | 33404 Us Highway 280, Childersburg, AL 35044 | 2006-09-16 |
| 1831320340 | Terry R Walters | Audiologist-Hearing Aid Fitter | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-31 |
| 1720010754 | Freds Stores of Tennessee Inc | Pharmacy | 80 River Run Rd, Childersburg, AL 35044-1208 | 2006-07-07 |
| 1558679530 | Jim Peeples | Pharmacist | 80 River Run Rd, Childersburg, AL 35044-1208 | 2010-09-23 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| Find all providers in zip 35044 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851476261 | Childersburg Diagnostic Imaging, LLC | Physiological Laboratory | 30411 Hwy 280, Childersburg, AL 35178 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563147 | Alpha Vascular Screenings LLC | Physiological Laboratory | 190 Highland Blvd, Riverside, AL 35135-1050 | 2019-02-01 |
| 1679099253 | Vuepoint Diagnostics, LLC | Physiological Laboratory | 4268 Cahaba Heights Ct Ste 102, Vestavia, AL 35243-5711 | 2017-08-16 |
| 1588190441 | St Vincents Ambulatory Healthcare Network LLC | Physiological Laboratory | 7191 Cahaba Valley Rd Ste 104, Birmingham, AL 35242-6443 | 2017-05-11 |
| 1467623264 | Rural Imaging Southeast LLC | Physiological Laboratory | 781 4th Ave Ste A, York, AL 36925-2103 | 2008-03-19 |
| 1194934885 | Health Care Investment Group Inc | Physiological Laboratory | 218 W Alabama St, Florence, AL 35630-5516 | 2007-05-21 |
| 1316063100 | Breathtrac Inc | Physiological Laboratory | 131 Mccalla Rd, Bessemer, AL 35022-5329 | 2007-03-22 |
| 1295877215 | Premier Medical Development LLC | Physiological Laboratory | 405 E Barbour St Ste 4, Eufaula, AL 36027-1604 | 2007-02-13 |
| 1053414847 | Digital Diagnostic Imaging Inc | Physiological Laboratory | 416 W Dr Hicks Blvd, Florence, AL 35630-6101 | 2006-09-07 |
| 1922017516 | Instant Diagnostic Systems, Inc. | Physiological Laboratory | 1740 4th Ave Se, Suite A, Decatur, AL 35601-5900 | 2006-08-05 |
| 1730126715 | Midsouth Radiology Inc | Physiological Laboratory | 360 Old Brompton Ln, Killen, AL 35645-8644 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
| City | CHILDERSBURG |
| Zip Code | 35044 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.