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NORTHEAST IMAGING PC NPI 1891733002


NPI Information

NPI: 1891733002
Provider Name: NORTHEAST IMAGING PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 01D0931103

Address:
1007 GOODYEAR AVE
GADSDEN, AL
ZIP 35903
Phone: (256) 494-4033
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NORTHEAST IMAGING PC is a diagnostic radiology radiology in Gadsden, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHEAST IMAGING PC NPI is 1891733002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1007 GOODYEAR AVE
GADSDEN, AL
ZIP 35903-195
Phone: (256) 494-4033

The provider's authorized official is Homer A Spencer .
The authorized official title is President and has the following contact phone number (256) 494-4033.

The CLIA number assigned to this NPI record is 01D0931103 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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