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NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC NPI 1972553204

NPI Profile

NPI: 1972553204
Provider Name: NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC
Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

CLIA Number: 01D0672600

Address:
302 W DR HICKS BLVD
STE. B
FLORENCE, AL
ZIP 35630
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Phone: (256) 767-2733

NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC is a nuclear radiology radiology in Florence, AL. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC NPI is 1972553204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 W DR HICKS BLVD
STE. B
FLORENCE, AL
ZIP 35630-160
Phone: (256) 767-2733
Fax: (256) 767-2717

The provider's authorized official is J. Patrick Daugherty .
The authorized official title is President and has the following contact phone number (256) 764-4200.

The CLIA number assigned to this NPI record is 01D0672600 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 5/22/2012.

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
12085N0904XRadiologyNuclear Radiology1359ALABAMAYes

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
1051552219MEDICARE ID-TYPE UNSPECIFIEDALABAMA

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: 11/24/2020

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