LAUDERDALE RADIOLOGY GROUP


Address: 1701 Veterans Drive, Florence, AL 35630
Phone: 2567688168

LAUDERDALE RADIOLOGY GROUP (NPI# 1073605762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073605762
Entity Type Organization
Organization Name LAUDERDALE RADIOLOGY GROUP
Practice Address 1701 Veterans Drive
Florence
AL 35630
Mailing Address 201 S Court Street
Suite 500
Florence
AL 35630
Practice Telephone 2567688168
Practice Fax Number 2567688322
Mailing Telephone 2567688168
Mailing Fax Number 2567688322
Enumeration Date 2006-09-29
Last Update Date 2019-07-02
Authorized Official Name DR. PAUL VONHERRMANN (RADIOLOGIST)
Authorized Official Telephone 2567688168
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247100000X Radiologic Technologist D0137 AL Technologists, Technicians & Other Technical Service Providers
N 247100000X Radiologic Technologist 00023957 AL Technologists, Technicians & Other Technical Service Providers
N 247100000X Radiologic Technologist 00016553 AL Technologists, Technicians & Other Technical Service Providers
N 247100000X Radiologic Technologist MD.26676 AL Technologists, Technicians & Other Technical Service Providers
Y 247100000X Radiologic Technologist 00006072 AL Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL 009934433 05
AL 009934439 05
AL BC 51039286 01
AL 009934434 05
AL 009934437 05
AL BC EAST BILYEU 51543162 01
AL 528202620 05
AL BC 51039506 01
AL BC 51507878 01
AL BC 51519728 01
AL BC 51540375 01

Other Data Sources

Entity Type Entity Name Entity Address
Alabama Business Registrations Lauderdale Radiology Group, L.L.P. 201 S Court Street Suite 500, Florence, AL 35630

Office Location

Street Address 1701 VETERANS DRIVE
City FLORENCE
State AL
Zip Code 35630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356334494 Francois Daniel Lesage Family Medicine 1701 Veterans Drive, Florence, AL 35630-4928 2005-08-24

Providers in the same zip code

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 Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891077723 Panya J Holmes Radiologic Technologist 5075 Dawes Rd, Grand Bay, AL 36541-3219 2011-09-16
1326066184 David Paul Johnson Radiologic Technologist 12119 Us Highway 431, Guntersville, AL 35976-9344 2006-07-18
1003831900 G Dwayne Gann Radiologic Technologist 1201 13th Ave Se, Decatur, AL 35601-4300 2006-07-12
1710919691 William Richard Daniel Radiologic Technologist 12119 Us Highway 431 South, Guntersville, AL 35976 2006-07-07
1013531367 Matt Donald Paulson Radiologic Technologist 3719 Dauphin St, Mobile, AL 36608-1753 2020-06-02
1194347450 Nathan Perry Radiologic Technologist 1802 6th Ave S, Birmingham, AL 35233-1932 2020-05-09
1457765729 Brandon Cheadle Radiologic Technologist Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2014-06-16
1831501485 Evangelina Perez Radiologic Technologist 301 Andrews Ave, Lyster Army Health Clinic Bldg, Fort Rucker, AL 36362 2014-05-29
1558627414 Collin Conroy Bailey Radiologic Technologist 215 Perry Hill Rd, Department of Veterans Affairs Central Alabama, Montgomery, AL 36109 2012-04-05
1063585727 Amanda L Burke Radiologic Technologist 1201 13th Ave Se, Decatur, AL 35601-4300 2006-11-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City FLORENCE
Zip Code 35630

Improve Information

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Dataset Information

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.

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