Outpatient Diagnostic Center Of Madison

LBN: Diagnostic Health Mri Of Gadsden, Llc
Outpatient Diagnostic Center Of Madison is an health care organization with primary practice located at 398 Hughes Rd , Madison AL 35758-1102. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty. Diagnostic Health Mri Of Gadsden, Llc can be contacted via phone (256) 461-8808, or through King, William Cannon via phone (615) 846-7733.

Contact Information

Primary practice address
398 Hughes Rd Madison AL 35758-1102
Phone: (256) 461-8808
Fax: (256) 461-8898
Website:
Map and Directions
Authorized official contact:
Name: King, William Cannon
Phone: (615) 846-7733

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1003151671
LBN Legal business name Diagnostic Health Mri Of Gadsden, Llc
DBA Doing business as Outpatient Diagnostic Center Of Madison
Authorized official King, William Cannon
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2012
Last updated Nov 29th, 2023 - about 3 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 1003151671 NPPES
Alabama MEDICAID 143997

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