Childersburg Diagnostic Imaging, LLC
NPI #1013195254 in Childersburg, Alabama
Provider Information
- NPI Number
- 1013195254
- Entity Type
- Organization
- Organization Name
- Childersburg Diagnostic Imaging, LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Feb 8, 2008
- Last Updated
- Feb 15, 2008
Practice Location
- Address
- 34011 US HIGHWAY 280
- City
- Childersburg
- State
- Alabama
- ZIP Code
- 35044-2128
- Phone
- (256) 378-3313
Authorized Official
- Name
- MICHAEL T BICE
- Title
- ADMINISTRATOR
- Phone
- (256) 378-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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