MONTCLAIR ROAD IMAGING LLC NPI 1598294688

NPI Information

MONTCLAIR ROAD IMAGING, LLC is a radiology clinic center in Homewood, AL. MONTCLAIR ROAD IMAGING, LLC NPI is 1598294688. The provider is registered as an organization entity type.
The provider Is Doing Business As Imagesouth Pet/ct.

The provider's business location address is:

1 INDEPENDENCE PLZ STE 140
HOMEWOOD, AL
ZIP 35209-629
Phone: (205) 870-1979
Fax: (205) 870-1929

The provider's authorized official is Joseph Paul .
The authorized official title is President and has the following contact phone number (706) 256-3450.

The CLIA number assigned to this NPI record is 01D2074751 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2017 and was last updated on 7/21/2017.

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:

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