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RURAL IMAGING SOUTHEAST LLC NPI 1467623264


NPI Information

NPI: 1467623264
Provider Name: RURAL IMAGING SOUTHEAST LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
781 4TH AVE STE A
YORK, AL
ZIP 36925
Phone: (334) 830-7215
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RURAL IMAGING SOUTHEAST LLC is a physiological laboratory in York, 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. RURAL IMAGING SOUTHEAST LLC NPI is 1467623264. The provider is registered as an organization entity type.

The provider's business location address is:

781 4TH AVE STE A
YORK, AL
ZIP 36925-103
Phone: (334) 830-7215
Fax: (334) 222-2583

The provider's authorized official is Bobby Burkett .
The authorized official title is Manager and has the following contact phone number (334) 830-7215.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 10/28/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryI2002ALABAMAYes

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
1P00145028OTHERALABAMARAILROAD PROVIDER NUMBER
251519466OTHERALABAMABLUE CROSS BLUE SHIELD
3529920840MEDICAIDALABAMA
4009966385MEDICAIDALABAMA
5Y04515MEDICARE UPINALABAMA
6051554594OTHERALABAMAMEDICARE PROVIDER NUMBER

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

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