Lauderdale Radiology Group

NPI 1073605762 - Radiologic Technologist - 247100000X

NPI Details
NPI 1073605762
Enumeration Date 09/29/2006
Last Updated 03/07/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACKIE L JACKIE
Position OFFICE MANAGER
Phone (256) 767-3112
Fax (256) 767-9873
Practice Location
546 W ALABAMA STREET
FLORENCE AL, 35630, US
Phone (256) 767-3112
Fax (256) 767-9873
Business Location
546 W ALABAMA STREET
FLORENCE AL, 35630, US
Phone (256) 767-3112
Fax (256) 767-9873
Toxanomy
Taxonomy Code 247100000X
License State Alabama
License Number MD.26676
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According to our database, Lauderdale Radiology Group NPI is 1073605762, taxonomy code is 247100000X and license number is MD.26676, license state is located at Alabama. Lauderdale Radiology Group physically located at 546 W Alabama Street, Florence AL, 35630. NPI Number 1033115704 has the healthcare provider type.

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1073605762 NPI number is provided on an as is basis without warranty of any kind. 1073605762 is maintained by the National Plan & Provider Enumeration System. The contents of Lauderdale Radiology Group are for informational purposes only.