RANDOLPH MEDICAL ASSOCIATES NPI 1104003987

NPI Information

NPI: 1104003987
Provider Name: RANDOLPH MEDICAL ASSOCIATES

Doing Business As: IMAGING MOBILITY UNIT

Classification: Specialist/Technologist Cardiovascular - 246XS1301X
Entity Type: Organization

Specialization: Sonography

Address:
965 US HWY 431
ROANOKE, AL
ZIP 36274
Phone: (334) 863-2150
Get Directions

RANDOLPH MEDICAL ASSOCIATES is a sonography specialist technologist cardiovascular in Roanoke, AL. RANDOLPH MEDICAL ASSOCIATES NPI is 1104003987. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Imaging Mobility Unit.

The provider's business location address is:

965 US HWY 431
ROANOKE, AL
ZIP 36274
Phone: (334) 863-2150
Fax: (334) 863-8733

The provider's authorized official is Russell Doak Peterson .
The authorized official title is Owner and has the following contact phone number (334) 863-2150.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 1/24/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246XS1301X	Specialist/Technologist Cardiovascular	Sonography	D0436	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E26656	OTHER	ALABAMA	UPIN
2	51091244	OTHER	ALABAMA	BCBS

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

NPI Synchronization or Removal

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