PET CT OF MOBILE LLC (NPI# 1811051675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811051675 |
| Entity Type | Organization |
| Organization Name | PET CT OF MOBILE LLC |
| Practice Address |
100 Memorial Hospital Dr Suite 1e Mobile AL 36608 |
| Mailing Address |
Po Box 7687 Mobile AL 36670-0687 |
| Practice Telephone | 2513163868 |
| Practice Fax Number | 2513163583 |
| Mailing Telephone | 2513163868 |
| Mailing Fax Number | 2613163583 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | MR. JOSEPH ROWEN ZURFLUH (MANAGER) |
| Authorized Official Telephone | 2516330573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RR MEDICARE | P00450207 | 01 |
| Street Address |
100 MEMORIAL HOSPITAL DR SUITE 1E |
| City | MOBILE |
| State | AL |
| Zip Code | 36608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517769 | Mark Richard Gacek | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2005-06-09 |
| 1770925471 | Larry Michael Oliver II | Nurse Practitioner | 100 Memorial Hospital Dr, 1-a, Mobile, AL 36608-1183 | 2013-07-23 |
| 1396189528 | Melanie March Tims | Nurse Practitioner | 100 Memorial Hospital Dr, Annex Building, Suite 3-b, Mobile, AL 36608-1183 | 2013-04-18 |
| 1932449451 | Gacek Ear and Sinus Center LLC | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2013-02-20 |
| 1437456050 | Shawna Michelle Reich | Nurse Practitioner | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2011-02-16 |
| 1093048332 | Jimmie Council Blan | Physician Assistant | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2009-09-17 |
| 1528291861 | Kristin Oakes Tomlinson | Nurse Practitioner | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2009-09-03 |
| 1306019831 | Springhill Behavioral Health Inc. | Counselor | 100 Memorial Hospital Dr, 1-b, Mobile, AL 36608-1183 | 2008-04-04 |
| 1942496922 | Michelle D Nicholas | Physician Assistant | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2007-09-24 |
| 1306039912 | Catherine Merritt Shaw | Occupational Therapist | 100 Memorial Hospital Dr, Suite 1-c, Mobile, AL 36608-1183 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629179023 | Himath Singh | Radiology | 209 Lakewood Dr E, Mobile, AL 36608-2248 | 2006-09-26 |
| 1528428604 | University of South Alabama | Radiology | 2451 Fillingim St, Mobile, AL 36617-2238 | 2016-03-02 |
| 1700856192 | Dean B Asher | Radiology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2006-01-26 |
| 1003804345 | Mobile Molecular Imaging LLC | Radiology | 100 Memorial Hospital Dr, Ste 1e, Mobile, AL 36608 | 2005-10-11 |
| 1538169099 | Stephen C. Ashe | Radiology | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073820064 | Elizabeth Weatherford Md PC | Radiology | 2240 Bluff Canyon Rd, Tuscumbia, AL 35674-5774 | 2010-09-12 |
| 1215268446 | Cahaba Valley Imaging, LLC | Radiology | 201 Racquet Club Lane, Pelham, AL 35124 | 2010-01-28 |
| 1134172737 | Vestavia Mri, LLC | Radiology | 1360 Montgomery Hwy, Suite 110, Birmingham, AL 35216-2749 | 2006-05-18 |
| 1710947684 | John Landon Reichle | Radiology | 512 Harley St, Scottsboro, AL 35768-4219 | 2006-03-24 |
| 1447230313 | Carol A Stephenson | Radiology | 777 Celia Dr Se, Hartselle, AL 35640-3321 | 2006-01-18 |
| 1164400842 | Joseph M Cannon | Radiology | 22281 Us Hwy 72 E, Suite B and C, Athens, AL 35613 | 2006-01-04 |
| 1396900197 | Robert Desha Hines Iv | Radiology | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2008-07-22 |
| 1487664454 | Jorge Alberto Vidal | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2006-08-09 |
| 1114987088 | Harrell Edward Cox | Radiology | 512 Harley St, Scottsboro, AL 35768-4219 | 2006-03-24 |
| 1043294903 | Therese Marie Weber | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2005-12-05 |
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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.