DIGITAL DIAGNOSTIC IMAGING INC (NPI# 1053414847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053414847 |
Entity Type | Organization |
Organization Name | DIGITAL DIAGNOSTIC IMAGING INC |
Other Organization Name | DDI |
Practice Address |
416 W Dr Hicks Blvd Florence AL 35630-6101 |
Practice Telephone | 2567647676 |
Practice Fax Number | 2567645955 |
Mailing Telephone | 2567647676 |
Mailing Fax Number | 2567645955 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. STEPHEN LEE VICKERY (VICE PRESIDENT) |
Authorized Official Telephone | 2567647676 |
Authorized Official Credential | CNMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | 11920 | AL | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BLUE CROSS BLUE SHIELD | 51510288 | 01 |
Other Name | Type Code |
---|---|
DDI | Doing Business As Name - Organization |
Street Address |
416 W DR HICKS BLVD |
City | FLORENCE |
State | AL |
Zip Code | 35630-6101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
Find all providers in zip 35630 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
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. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194934885 | Health Care Investment Group Inc | Physiological Laboratory | 218 W Alabama St, Florence, AL 35630-5516 | 2007-05-21 |
1366491565 | Diagnostic Health Corporation | Physiological Laboratory | 2129 Helton Dr, Suite D, Florence, AL 35630-1069 | 2006-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922563147 | Alpha Vascular Screenings LLC | Physiological Laboratory | 190 Highland Blvd, Riverside, AL 35135-1050 | 2019-02-01 |
1679099253 | Vuepoint Diagnostics, LLC | Physiological Laboratory | 4268 Cahaba Heights Ct Ste 102, Vestavia, AL 35243-5711 | 2017-08-16 |
1588190441 | St Vincents Ambulatory Healthcare Network LLC | Physiological Laboratory | 7191 Cahaba Valley Rd Ste 104, Birmingham, AL 35242-6443 | 2017-05-11 |
1467623264 | Rural Imaging Southeast LLC | Physiological Laboratory | 781 4th Ave Ste A, York, AL 36925-2103 | 2008-03-19 |
1316063100 | Breathtrac Inc | Physiological Laboratory | 131 Mccalla Rd, Bessemer, AL 35022-5329 | 2007-03-22 |
1295877215 | Premier Medical Development LLC | Physiological Laboratory | 405 E Barbour St Ste 4, Eufaula, AL 36027-1604 | 2007-02-13 |
1851476261 | Childersburg Diagnostic Imaging, LLC | Physiological Laboratory | 30411 Hwy 280, Childersburg, AL 35178 | 2006-10-25 |
1922017516 | Instant Diagnostic Systems, Inc. | Physiological Laboratory | 1740 4th Ave Se, Suite A, Decatur, AL 35601-5900 | 2006-08-05 |
1730126715 | Midsouth Radiology Inc | Physiological Laboratory | 360 Old Brompton Ln, Killen, AL 35645-8644 | 2006-05-31 |
1679528186 | Stidham Medical, LLC | Physiological Laboratory | 1890 Al Highway 157 Ste 220, Cullman, AL 35058-0689 | 2006-05-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.