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ST. VINCENT'S P.E.T. CENTER LLC NPI 1457337073


NPI Information

NPI: 1457337073
Provider Name: ST. VINCENT'S P.E.T. CENTER, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2728 10TH AVE. S
STE. 300
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 930-2670
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ST. VINCENT'S 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. ST. VINCENT'S P.E.T. CENTER, LLC NPI is 1457337073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2728 10TH AVE. S
STE. 300
BIRMINGHAM, AL
ZIP 35205-202
Phone: (205) 930-2670
Fax: (205) 930-2671

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 12/15/2005 and was last updated on 11/21/2019.


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

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
1051555054MEDICAIDALABAMA

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

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.