EASTSIDE P.E.T. CENTER LLC NPI 1619925070

NPI Details

EASTSIDE 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. EASTSIDE P.E.T. CENTER, LLC NPI is 1619925070. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

46 MEDICAL PARK DR E
STE 224
BIRMINGHAM, AL
ZIP 35235-401
Phone: (205) 838-3738
Fax: (205) 838-6738

The provider's authorized official is Lisa J. Wells .
The authorized official title is Vice-president and has the following contact phone number (205) 221-8258.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
• Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)

The enumeration date for this NPI number is 5/5/2006 and was last updated on 6/30/2025.

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: