MONTCLAIR ROAD IMAGING, LLC (NPI# 1114998192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114998192 |
| Entity Type | Organization |
| Organization Name | MONTCLAIR ROAD IMAGING, LLC |
| Other Organization Name | IMAGESOUTH MONTCLAIR ROAD |
| Practice Address |
924 Montclair Rd Suite 108 Birmingham AL 35213-1211 |
| Mailing Address |
Po Box 931108 Atlanta GA 31193-1108 |
| Practice Telephone | 2055924674 |
| Practice Fax Number | 2055924670 |
| Mailing Telephone | 2059959899 |
| Mailing Fax Number | 2059951255 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | TRACI BROWN (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 7062563450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | UHC - PROVIDER ID # | 1610921 | 01 |
| AL | N. MELINDA BERGQUIST, MD | 1023040409 | 01 |
| AL | RUTH SNOW, MD | 1124000344 | 01 |
| AL | CECIL EILAND, MD | 1235111451 | 01 |
| AL | BCBS - FACILITY ID # | 51056277 | 01 |
| AL | ROBERT EICHELBERGER, MD | 1427030642 | 01 |
| AL | JAMES SPANN, M.D. - BCBS OF ALABAMA | 51116990 | 01 |
| AL | 529906970 | 05 | |
| AL | JAMES SPANN, M.D., NPI # | 1306051164 | 01 |
| AL | RAILROAD MEDICARE | 470000833 | 01 |
| Other Name | Type Code |
|---|---|
| ImageSouth Montclair Road | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294688 | Montclair Road Imaging, LLC | Clinic/Center | 1 Independence Plz Ste 140, Homewood, AL 35209-2629 | 2017-06-12 |
| Street Address |
924 MONTCLAIR RD SUITE 108 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711814 | Thomas J. Alford | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-27 |
| 1033303102 | Warren Jefferson Clingan IIi | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2007-08-31 |
| 1073723383 | Amanda Crowe | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2007-05-23 |
| 1063622280 | Daniel Keith Harrison | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2007-05-23 |
| 1316155633 | Lafacial Wilson Moore | Counselor | 924 Montclair Rd, Suite 106, Birmingham, AL 35213-1211 | 2007-05-18 |
| 1043315922 | Hayward Savage Edmunds Jr. | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2006-09-14 |
| 1144279654 | Allyson Baker | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2006-05-10 |
| 1144226705 | Edward R Wilson Jr. | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-28 |
| 1811993595 | Caroline P Mccall | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-27 |
| 1669478327 | James A Davis IIi | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655869 | American Heath Imaging of Alabama LLC | Clinic/Center | 509 Brookwood Blvd Ste 111, Birmingham, AL 35209-6801 | 2020-10-08 |
| 1629434881 | Grandview Imaging, LLC | Clinic/Center | 3570 Grandview Pkwy, Suite 102, Birmingham, AL 35243-2064 | 2016-01-04 |
| 1265671630 | Birmingham Radiological Group, PC | Clinic/Center | 100 Pilot Medical Drive, Ste 150, Birmingham, AL 35235 | 2009-02-09 |
| 1568496628 | Brookwood Center Development Corporation | Clinic/Center | 513 Brookwood Blvd Ste 100, Birmingham, AL 35209-6878 | 2006-07-11 |
| 1770519001 | Brookwood Womens Diagnostic Center, LLC | Clinic/Center | 2006 Medical Center Dr Ste 112, Birmingham, AL 35209-6823 | 2006-06-26 |
| 1730164765 | American Heath Imaging of Alabama LLC | Clinic/Center | 2101 4th Ave S, Suite 100, Birmingham, AL 35233-2029 | 2005-12-13 |
| 1538520721 | Brookwood Diagnostic Imaging Center, LLC | Clinic/Center | 513 Brookwood Blvd, Suite 100, Birmingham, AL 35209-6878 | 2016-03-15 |
| 1013378496 | Brookwood Womens Diagnostic Center LLC | Clinic/Center | 2006 Brookwood Medical Center Drive, Suite 112, Birmingham, AL 35209-6878 | 2016-03-14 |
| 1023137544 | Brookwood Center for Development Corporation | Clinic/Center | 513 Brookwood Blvd Ste 100, Birmingham, AL 35209-6878 | 2007-03-28 |
| 1841215621 | Brookwood Diagnostic Imaging Center, LLC | Clinic/Center | 513 Brookwood Blvd Ste 100, Birmingham, AL 35209-6878 | 2006-07-13 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
Please comment or provide details below to improve the information on MONTCLAIR ROAD IMAGING, LLC.
| 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.