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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | AL | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 000032914 | 05 |
Other Name | Type Code |
---|---|
Pinnacle Mobile Imaging, LLC | Doing Business As Name - Organization |
Street Address |
1890 AL HIGHWAY 157 STE 220 |
City | CULLMAN |
State | AL |
Zip Code | 35058-0689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
Find all providers in zip 35058 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922563147 | Alpha Vascular Screenings LLC | Physiological Laboratory | 190 Highland Blvd, Riverside, AL 35135-1050 | 2019-02-01 |
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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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.