SOUTHERN RADIOLOGY SERVICES, LLC (NPI# 1811988462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811988462 |
| Entity Type | Organization |
| Organization Name | SOUTHERN RADIOLOGY SERVICES, LLC |
| Practice Address |
300 Cahaba Valley Cir Pelham AL 35124-1148 |
| Mailing Address |
5545 Superior Dr Baton Rouge LA 70816-8030 |
| Practice Telephone | 8008458183 |
| Practice Fax Number | 8003172757 |
| Mailing Telephone | 2252933363 |
| Mailing Fax Number | 2252930245 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD RAY POLLARD (MANAGING MEMBER) |
| Authorized Official Telephone | 2252933363 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | MS | Suppliers | |
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00126079 | 05 |
| Street Address |
300 CAHABA VALLEY CIR |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346464534 | Southern Radiology Services | Physiological Laboratory | 300 Cahaba Valley Cir, Pelham, AL 35124-1148 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912430158 | Medical Device and Billing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7201 Halcyon Summit Dr, Montgomery, AL 36117-3502 | 2017-04-05 |
| 1649677436 | Kevin Snyder | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30466 Sgt E I Boots Thomas Dr, Suite 206a, Spanish Fort, AL 36527-7630 | 2014-11-23 |
| 1326384306 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-20 |
| 1265450282 | Massvax Travel Clinic L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 113 Parkside Dr, Headland, AL 36345-1520 | 2006-07-17 |
| 1295712149 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 512 Montgomery Hwy, Suite 200, Birmingham, AL 35216-1843 | 2005-12-30 |
| 1558743120 | Xraymobile | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30466 Sgt E I Boots Thomas Dr, Suite 206a, Spanish Fort, AL 36527-7630 | 2015-06-19 |
| 1609111467 | Healthscan Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2525 Bell Rd, Montgomery, AL 36117-4369 | 2012-12-05 |
| 1164790861 | Vuepoint Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4268 Cahaba Heights Ct, Suite 102, Vestavia, AL 35243-5711 | 2011-12-08 |
| 1700175411 | Eddie Lee Ayers | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1860 Us Highway 43, Winfield, AL 35594-5062 | 2011-04-04 |
| 1912206392 | Superior Mobile Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1860 Us Highway 43, Winfield, AL 35594-5062 | 2011-03-24 |
| 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.