MONTGOMERY IMAGING CENTER LLC (NPI# 1801823141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801823141 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY IMAGING CENTER LLC |
| Practice Address |
2055 Normandie Dr Suite 108 Montgomery AL 36111-2732 |
| Practice Telephone | 3342884624 |
| Practice Fax Number | 3342803628 |
| Mailing Telephone | 3342884624 |
| Mailing Fax Number | 3342803628 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MARK D LAURENT (COO) |
| Authorized Official Telephone | 3342884624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2055 NORMANDIE DR SUITE 108 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173121 | Mary M Karst | Radiology | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2005-08-31 |
| 1174759351 | G. Perrin Underwood, M.d. P.C. | Ophthalmology | 2055 Normandie Dr, Suite 212, Montgomery, AL 36111-2732 | 2009-06-02 |
| 1437306115 | Cynthia B Pollitt | Radiology | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2008-08-25 |
| 1740403583 | Ronald A Stanton | Radiology | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2007-04-10 |
| 1780769927 | G Perrin Underwood | Ophthalmology | 2055 Normandie Dr, Suite 212, Montgomery, AL 36111-2732 | 2006-10-26 |
| 1023046604 | Montgomery Radiology Associates, Pa | Specialist | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2006-06-30 |
| 1740219294 | Edward Scott Parma | Ophthalmology | 2055 Normandie Dr, Suite 314, Montgomery, AL 36111-2732 | 2006-06-30 |
| 1659300101 | Michael Paige Massey | Ophthalmology | 2055 Normandie Dr, Suite 314, Montgomery, AL 36111-2732 | 2006-06-30 |
| 1346285426 | Philip Henry Scharper Jr. | Ophthalmology | 2055 Normandie Dr, Suite 314, Montgomery, AL 36111-2732 | 2006-06-20 |
| 1851336226 | Retina Specialists of Alabama In Montgomery LLC | Ophthalmology | 2055 Normandie Dr, Suite 314, Montgomery, AL 36111-2732 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
| Find all providers in zip 36111 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561745 | Kenneth Wayne Roach | Specialist | 15650 Walden Rd Apt 4302, Montgomery, TX 77356-1780 | 2019-04-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1881042760 | Hairzone | Specialist | 3009 Mcgehee Rd, B, Montgomery, AL 36111-2202 | 2016-06-01 |
| 1043675051 | Robert Wareham | Specialist | 105 Forest Wind Cir, Montgomery, TX 77316-6846 | 2015-12-17 |
| 1497129159 | Annail Reese Fort | Specialist | 3009b Mcgehee Rd, Montgomery, AL 36111-2202 | 2015-11-18 |
| 1699155721 | Maryethel Nutt | Specialist | 53 Quarry Rd, Montgomery, NY 12549-2524 | 2015-06-03 |
| 1225421274 | Next Level Healthcare Consultants LLC | Specialist | 47 S Wind Dr, Montgomery, TX 77356-8232 | 2015-03-16 |
| 1710388483 | Yolanda Flynn | Specialist | 3957 Kimberly St, Montgomery, AL 36116-4515 | 2014-09-11 |
| 1366864647 | Rushmore Surgical Assistants | Specialist | 10906 Scenic Dr, Montgomery, TX 77356-5795 | 2014-01-06 |
| 1538503305 | Committed To Assisting Professionals | Specialist | 12002 Brightwood Dr, Montgomery, TX 77356-7920 | 2013-04-24 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
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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.