Childersburg Diagnostic Imaging, Llc in Childersburg - Physiological Laboratory
Childersburg Diagnostic Imaging, Llc - NPI 1013195254
Childersburg Diagnostic Imaging, Llc is a Physiological Laboratory in Childersburg, Alabama. Childersburg Diagnostic Imaging, Llc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Childersburg Diagnostic Imaging, Llc is 1013195254. The last update date is 2008-02-15.
Childersburg Diagnostic Imaging, Llc's current location address is Po Box 349, Childersburg, Alabama. You can contact this provider via phone number 2563783313. The mailing address for Childersburg Diagnostic Imaging, Llc is Po Box 349, Childersburg, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childersburg Diagnostic Imaging, Llc |
|---|---|
| Address | Po Box 349, Childersburg, Alabama |
| Phone Number | 2563783313 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bice T Michael |
| Telephone Number | 2563783313 |
NPI Number Detail
| NPI Number | 1013195254 |
|---|---|
| Provider Enumeration Date | 2008-02-08 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | Po Box 349 |
|---|---|
| City | Childersburg |
| State | Alabama (AL) |
| Post Code | 350440349 |
| Phone Number | 2563783313 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physiological Laboratory |
|---|---|
| Taxonomy | 293D00000X |
| Licence No | 11948 |
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Definition: 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 laboratorie |
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What is the unique 10-digit identification code assigned to Childersburg Diagnostic Imaging, Llc by the Centers for Medicare & Medicaid Services?
The Childersburg Diagnostic Imaging, Llc has been issued the NPI (National Provider Identifier) 1013195254, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Childersburg Diagnostic Imaging, Llc?
The Childersburg Diagnostic Imaging, Llc is physically situated at Po Box 349, in the city of Childersburg, state of AL, with the postal code 350440349.
What is Childersburg Diagnostic Imaging, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Childersburg Diagnostic Imaging, Llc is Physiological Laboratory, and the corresponding taxonomy classification code for this specialized field is 293D00000X.
On what date did Childersburg Diagnostic Imaging, Llc receive its 1013195254 assignment from the Centers for Medicare & Medicaid Services?
The Childersburg Diagnostic Imaging, Llc was assigned its 1013195254 on 2008-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Childersburg Diagnostic Imaging, Llc most recently updated or revised?
The details related to Childersburg Diagnostic Imaging, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-15.