DECATUR HEALTH IMAGING L L C (NPI# 1508973017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508973017 |
Entity Type | Organization |
Organization Name | DECATUR HEALTH IMAGING L L C |
Other Organization Name | OMI MANAGEMENT OF DECATUR |
Practice Address |
1123 16th Ave Se Decatur AL 35601-3534 |
Practice Telephone | 2563506364 |
Practice Fax Number | 2563518436 |
Mailing Telephone | 2563506364 |
Mailing Fax Number | 2563518436 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2019-12-26 |
Authorized Official Name | TAMMY HOBBS (TREASURER) |
Authorized Official Telephone | 4846794455 |
Is Organization Subpart | Y |
Parent Organization Name | MOLECULAR IMAGING TECHNOLOGIES |
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 | 529922450 | 05 |
Other Name | Type Code |
---|---|
OMI Management of Decatur | Other Name - Individual/Organization |
Street Address |
1123 16TH AVE SE |
City | DECATUR |
State | AL |
Zip Code | 35601-3534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
Find all providers in zip 35601 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508841511 | American Health Imaging of Ga LLC | Clinic/Center | 2774 N Decatur Rd, Decatur, GA 30033-5910 | 2005-12-13 |
1720474745 | Argon Imaging Center | Clinic/Center | 1670 Scott Blvd, Decatur, GA 30033-5605 | 2015-04-07 |
1578694030 | Larry J. Cooper, Md | Clinic/Center | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2007-03-08 |
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 |
1609473040 | American Heath Imaging of Alabama LLC | Clinic/Center | 3105 Independence Dr Ste 101, Homewood, AL 35209-4111 | 2020-10-08 |
1164029948 | American Heath Imaging of Alabama LLC | Clinic/Center | 224 1st St N Ste 150, Alabaster, AL 35007-9081 | 2020-10-05 |
1518564392 | American Heath Imaging of Alabama LLC | Clinic/Center | 7500 Hugh Daniel Dr Ste 150, Hoover, AL 35242-7145 | 2020-10-05 |
1639678550 | Med Tech Imaging Center LLC | Clinic/Center | 102 Medical Center Dr Ste B, Prattville, AL 36066-7286 | 2018-02-06 |
1548789852 | Women's Imaging Specialists - Gulf Shores, LLC | Clinic/Center | 1229 Gulf Shores Pkwy Ste 100, Gulf Shores, AL 36542-5929 | 2017-09-18 |
1629434881 | Grandview Imaging, LLC | Clinic/Center | 3570 Grandview Pkwy, Suite 102, Birmingham, AL 35243-2064 | 2016-01-04 |
1912377508 | Ally Radiology Consultants, LLC | Clinic/Center | 1907 W Farmville Rd, Auburn, AL 36879-4621 | 2015-09-25 |
1215250634 | Foley Diagnostic Imaging, LLC | Clinic/Center | 112 W Laurel Ave, Foley, AL 36535-1967 | 2010-03-12 |
1265671630 | Birmingham Radiological Group, PC | Clinic/Center | 100 Pilot Medical Drive, Ste 150, Birmingham, AL 35235 | 2009-02-09 |
Find all providers with the same taxonomy |
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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.