MRI OF ANDALUSIA LLC (NPI# 1780676601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780676601 |
Entity Type | Organization |
Organization Name | MRI OF ANDALUSIA LLC |
Practice Address |
1823 E Three Notch St Andalusia AL 36421-2403 |
Practice Telephone | 3344277222 |
Practice Fax Number | 3344277223 |
Mailing Telephone | 3344277222 |
Mailing Fax Number | 3344277223 |
Enumeration Date | 2005-08-17 |
Last Update Date | 2008-02-13 |
Authorized Official Name | JAMES W. HOLMES (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 3372919161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Street Address |
1823 E THREE NOTCH ST |
City | ANDALUSIA |
State | AL |
Zip Code | 36421-2403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821114216 | Covington County | Local Education Agency (LEA) | 807 C C Baker Ave, Andalusia, AL 36421-2137 | 2007-03-21 |
1841445996 | Cheryl Ann Blanck | Chiropractor | 1805 E Three Notch St, Suite 1, Andalusia, AL 36421-2403 | 2008-11-17 |
1649235706 | Comfort Care Hospice, LLC | Hospice Care, Community Based | 1805 3 East Three Notch Street, Andalusia, AL 36421-2403 | 2006-04-19 |
1578794418 | Andalusia Chiropractic, Inc. | Chiropractor | 1805 E Three Notch St, Suite 1, Andalusia, AL 36421-2403 | 2009-07-27 |
1164598215 | James H Tillman Jr. | Optometrist | 1860 E Three Notch St, Andalusia, AL 36421-2404 | 2006-11-28 |
1629133111 | Andalusia Eye Clinic LLC | Ophthalmology | 1860 E Three Notch St, Andalusia, AL 36421-2404 | 2006-12-26 |
1508470899 | Healthworks Medical Group of Alabama P C | Clinic/Center | 200 Waits Dr, Andalusia, AL 36421-2431 | 2020-09-03 |
1184258485 | Southern Comfort In-home Care | Homemaker | 26091 Shoemaker Rd, Andalusia, AL 36421-5903 | 2020-02-25 |
1710094982 | Carmelita M Day | Nurse Anesthetist, Certified Registered | 11345 Brooklyn Rd, Andalusia, AL 36421-6407 | 2006-08-24 |
1063699965 | Albert Bennette St. John | Obstetrics & Gynecology | 21075 Rabren Rd, Andalusia, AL 36421-8115 | 2008-01-23 |
Find all providers in zip 36421 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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1871190256 | Charles M Thorn | Radiology | 204 Debbie Dr, Deatsville, AL 36022-2567 | 2020-10-08 |
1184264152 | Locus Center, LLC | Radiology | 3064 Lorna Rd Ste E, Vestavia Hills, AL 35216-4529 | 2020-01-08 |
1497241756 | Anurag Chahal | Radiology | Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 | 2018-07-10 |
1427595511 | Lemak Sports Medicine LLC | Radiology | 2215 Decatur Hwy Ste 117, Gardendale, AL 35071-2384 | 2017-01-26 |
1346782307 | Birmingham Physicians Radiology Pllc | Radiology | 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 | 2016-11-08 |
1558720953 | Brookwood Baptist Imaging, LLC | Radiology | 7131 Cahaba Valley Rd. Suite 101, Hoover, AL 35242 | 2016-02-15 |
1255799847 | Central Alabama Diagnostics LLC | Radiology | 2715 Legends Pkwy, Prattville, AL 36066-7755 | 2016-02-10 |
1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
1528445145 | Dothan Diagnostic Imaging Radiology, Pllc | Radiology | 217 Graceland Dr Ste 4, Dothan, AL 36305-7376 | 2015-05-04 |
1194111245 | Darrel Alexander Ceballos | Radiology | 619 19th Street South Jt N382, Birmingham, AL 35294-2238 | 2015-04-15 |
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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.