Provider Type Icon

DIAGNOSTIC HEALTH MRI OF GADSDEN LLC NPI 1003151671


NPI Information

NPI: 1003151671
Provider Name: DIAGNOSTIC HEALTH MRI OF GADSDEN, LLC

Doing Business As: OUTPATIENT DIAGNOSTIC CENTER OF MADISON

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 01D2058602

Address:
398 HUGHES RD
MADISON, AL
ZIP 35758
Phone: (256) 461-8808
Get Directions

DIAGNOSTIC HEALTH MRI OF GADSDEN, LLC is a physiological laboratory in Madison, AL. The provider is 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 laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. DIAGNOSTIC HEALTH MRI OF GADSDEN, LLC NPI is 1003151671. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Outpatient Diagnostic Center Of Madison.

The provider's business location address is:

398 HUGHES RD
MADISON, AL
ZIP 35758-102
Phone: (256) 461-8808
Fax: (256) 461-8898

The provider's authorized official is William Cannon King .
The authorized official title is Ceo and has the following contact phone number (615) 846-7733.

The CLIA number assigned to this NPI record is 01D2058602 - other - diagnostic imaging ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 11/29/2023.


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 RadiologyNo
2293D00000XPhysiological LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1143997MEDICAIDALABAMA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.