STIDHAM MEDICAL, LLC


Address: 1890 Al Highway 157 Ste 220, Cullman, AL 35058-0689
Phone: 2567391233

STIDHAM MEDICAL, LLC (NPI# 1679528186) 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) 1679528186
Entity Type Organization
Organization Name STIDHAM MEDICAL, LLC
Other Organization Name PINNACLE MOBILE IMAGING, LLC
Practice Address 1890 Al Highway 157 Ste 220
Cullman
AL 35058-0689
Practice Telephone 2567391233
Practice Fax Number 2567345129
Mailing Telephone 2567391233
Mailing Fax Number 2567345129
Enumeration Date 2006-05-23
Last Update Date 2015-03-27
Authorized Official Name DR. JEREMY STIDHAM (PRESIDENT/OWNER)
Authorized Official Telephone 2567391233
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory AL Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
AL 000032914 05

Other Provider/Organization Names

Other Name Type Code
Pinnacle Mobile Imaging, LLC Doing Business As Name - Organization

Office Location

Street Address 1890 AL HIGHWAY 157 STE 220
City CULLMAN
State AL
Zip Code 35058-0689

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

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.

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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
1194934885 Health Care Investment Group Inc Physiological Laboratory 218 W Alabama St, Florence, AL 35630-5516 2007-05-21
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
1053414847 Digital Diagnostic Imaging Inc Physiological Laboratory 416 W Dr Hicks Blvd, Florence, AL 35630-6101 2006-09-07
1922017516 Instant Diagnostic Systems, Inc. Physiological Laboratory 1740 4th Ave Se, Suite A, Decatur, AL 35601-5900 2006-08-05
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Competitor

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City CULLMAN
Zip Code 35058

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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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