FORT PAYNE MRI LLC NPI 1730145988

NPI Information

  • NPI: 1730145988
  • Provider Name: FORT PAYNE MRI LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 01D2160358
  • Address: 1110 GLENN BLVD SW
    SUITE 100
    FORT PAYNE, AL
    ZIP 35967
  • Phone: (256) 845-9402

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NPI Details

FORT PAYNE MRI LLC is a diagnostic radiology radiology in Fort Payne, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FORT PAYNE MRI LLC NPI is 1730145988. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1110 GLENN BLVD SW
SUITE 100
FORT PAYNE, AL
ZIP 35967-486
Phone: (256) 845-9402
Fax: (256) 845-9410

The provider's authorized official is James W. Holmes .
The authorized official title is Chief Operating Officer and has the following contact phone number (337) 291-9161.

The CLIA number assigned to this NPI record is 01D2160358 - physician office with a certificate type of Certificate of Compliance.

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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml (HCPCS:A9579)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of arm joint with contrast (HCPCS:73222)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of leg without contrast (HCPCS:73700)

The enumeration date for this NPI number is 4/25/2006 and was last updated on 2/22/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00312517MEDICARE PINALABAMA

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: 11/21/2025

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