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MONTCLAIR ROAD IMAGING LLC NPI 1114998192


NPI Information

NPI: 1114998192
Provider Name: MONTCLAIR ROAD IMAGING, LLC

Doing Business As: IMAGESOUTH MONTCLAIR ROAD

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
924 MONTCLAIR RD
SUITE 108
BIRMINGHAM, AL
ZIP 35213
Phone: (205) 592-4674
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MONTCLAIR ROAD IMAGING, LLC is a radiology clinic center in Birmingham, AL. MONTCLAIR ROAD IMAGING, LLC NPI is 1114998192. The provider is registered as an organization entity type.
The provider Is Doing Business As Imagesouth Montclair Road.

The provider's business location address is:

924 MONTCLAIR RD
SUITE 108
BIRMINGHAM, AL
ZIP 35213-211
Phone: (205) 592-4674
Fax: (205) 592-4670

The provider's authorized official is Traci Brown .
The authorized official title is Director Of Billing and has the following contact phone number (706) 256-3450.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 10/28/2020.


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
1261QR0200XClinic/CenterRadiologyYes

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
11610921OTHERALABAMAUHC - PROVIDER ID #
21023040409OTHERALABAMAN. MELINDA BERGQUIST, MD
31124000344OTHERALABAMARUTH SNOW, MD
41235111451OTHERALABAMACECIL EILAND, MD
551056277OTHERALABAMABCBS - FACILITY ID #
61427030642OTHERALABAMAROBERT EICHELBERGER, MD
751116990OTHERALABAMAJAMES SPANN, M.D. - BCBS OF ALABAMA
8529906970MEDICAIDALABAMA
91306051164OTHERALABAMAJAMES SPANN, M.D., NPI #
10470000833OTHERALABAMARAILROAD MEDICARE

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.