EASTSIDE P.E.T. CENTER LLC NPI 1619925070

NPI Information

EASTSIDE P.E.T. CENTER, LLC is a diagnostic radiology radiology in Birmingham, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EASTSIDE P.E.T. CENTER, LLC NPI is 1619925070. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

46 MEDICAL PARK DR. E.
STE. 224
BIRMINGHAM, AL
ZIP 35235-401
Phone: (205) 838-3738
Fax: (205) 838-6738

The provider's authorized official is Lisa J. Wells .
The authorized official title is Executive Director and has the following contact phone number (205) 221-8258.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 2/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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