MONTCLAIR ROAD IMAGING, LLC (NPI# 1598294688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598294688 |
| Entity Type | Organization |
| Organization Name | MONTCLAIR ROAD IMAGING, LLC |
| Other Organization Name | IMAGESOUTH PET/CT |
| Practice Address |
1 Independence Plz Ste 140 Homewood AL 35209-2629 |
| Mailing Address |
Po Box 931108 Atlanta GA 31193-1108 |
| Practice Telephone | 2058701979 |
| Practice Fax Number | 2058701929 |
| Mailing Telephone | 2058701979 |
| Mailing Fax Number | 2058701929 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | JOSEPH PAUL (PRESIDENT) |
| Authorized Official Telephone | 7062563450 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTCLAIR ROAD IMAGING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ImageSouth Diagnostics | Doing Business As Name - Organization |
| ImageSouth PET/CT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114998192 | Montclair Road Imaging, LLC | Clinic/Center | 924 Montclair Rd, Suite 108, Birmingham, AL 35213-1211 | 2006-01-30 |
| Street Address |
1 INDEPENDENCE PLZ STE 140 |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801867890 | Open Mri On 280, LLC | Clinic/Center | 1 Independence Plz Ste 140, Homewood, AL 35209-2629 | 2006-01-30 |
| 1538766316 | American Heath Imaging of Alabama LLC | Clinic/Center | 1 Independence Plz Ste 140, Homewood, AL 35209-2645 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473040 | American Heath Imaging of Alabama LLC | Clinic/Center | 3105 Independence Dr Ste 101, Homewood, AL 35209-4111 | 2020-10-08 |
| 1609814151 | Medica Stand-up Mri of Birmingham, LLC | Clinic/Center | 3105 Independence Dr, Suite 101, Homewood, AL 35209-4111 | 2006-06-04 |
| 1538766316 | American Heath Imaging of Alabama LLC | Clinic/Center | 1 Independence Plz Ste 140, Homewood, AL 35209-2645 | 2020-10-05 |
| 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 |
| 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 |
| 1871644435 | Marshall Medical Center North | Clinic/Center | 2320 Homer Clayton Dr, Guntersville, AL 35976-2206 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
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.