Imagesouth Montclair Road

LBN: Montclair Road Imaging, Llc
Imagesouth Montclair Road is an health care organization with primary practice located at 924 Montclair Rd Suite 108, Birmingham AL 35213-1211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Montclair Road Imaging, Llc can be contacted via phone (205) 592-4674, or through Brown, Traci via phone (706) 256-3450.

Contact Information

Primary practice address
924 Montclair Rd Suite 108 Birmingham AL 35213-1211
Fax: (205) 592-4670
Website:
Authorized official contact:
Name: Brown, Traci

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1114998192
LBN Legal business name Montclair Road Imaging, Llc
DBA Doing business as Imagesouth Montclair Road
Authorized official Brown, Traci
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated Oct 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114998192 NPPES
Alabama Other 51056277 BCBS - FACILITY ID #
Alabama Other 1124000344 BCBS - FACILITY ID #
Alabama Other 1023040409 BCBS - FACILITY ID #
Alabama Other 51116990 BCBS - FACILITY ID #
Alabama Other 1610921 BCBS - FACILITY ID #
Alabama MEDICAID 529906970 BCBS - FACILITY ID #
Alabama Other 1235111451 BCBS - FACILITY ID #
Alabama Other 1306051164 BCBS - FACILITY ID #
Alabama Other 470000833 BCBS - FACILITY ID #
Alabama Other 1427030642 BCBS - FACILITY ID #

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