Randolph Medical Associates in Roanoke - Sonography
Randolph Medical Associates - NPI 1104003987
Randolph Medical Associates is a Sonography in Roanoke, Alabama. Randolph Medical Associates practices all healthcare services and medical treatments related to Sonography. The NPI Number for Randolph Medical Associates is 1104003987. The last update date is 2008-01-24.
Randolph Medical Associates's current location address is Po Box 625, Roanoke, Alabama. You can contact this provider via phone number 3348632150 and fax number 3348638733. The mailing address for Randolph Medical Associates is Po Box 625, Roanoke, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randolph Medical Associates |
|---|---|
| Address | Po Box 625, Roanoke, Alabama |
| Phone Number | 3348632150 |
| Fax Number | 3348638733 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Peterson Doak Russell |
| Credentials | DO |
| Telephone Number | 3348632150 |
NPI Number Detail
| NPI Number | 1104003987 |
|---|---|
| Provider Enumeration Date | 2008-01-24 |
| Last Updated Date | 2008-01-24 |
Provider Mailing Address Detail
| Address | Po Box 625 |
|---|---|
| City | Roanoke |
| State | Alabama (AL) |
| Post Code | 362740625 |
| Phone Number | 3348632150 |
| Fax Number | 3348638733 |
Provider's Primary Taxonomy Detail
| Speciality | Sonography |
|---|---|
| Taxonomy | 246Xs1301X |
| Licence No | D0436 |
|
Definition: Performs diagnostic ultrasound imaging examinations using high-frequency sound waves to visualize soft tissues and body structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51091244 | AL | BCBS | |
| E26656 | AL | UPIN |
Post Comment/ Review Below
What is the Randolph Medical Associates's 1104003987?
The Randolph Medical Associates's NPI (National Provider Identifier) Number is 1104003987. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randolph Medical Associates's physical address?
The Randolph Medical Associates is physically located at Po Box 625, in the city of Roanoke, AL, with the postal code 362740625.
What is the area of specialization for Randolph Medical Associates, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randolph Medical Associates is Sonography, and the corresponding taxonomy code that categorizes this area of expertise is 246Xs1301X.
On what date did the Randolph Medical Associates receive its 1104003987 assignment from the Centers for Medicare & Medicaid Services?
The Randolph Medical Associates was assigned its 1104003987 by the Centers for Medicare & Medicaid Services on 2008-01-24.
As of what date were the details related to Randolph Medical Associates most recently updated or revised?
The information pertaining to Randolph Medical Associates, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-24.
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