1295788222 NPI number — HERITAGE DIAGNOSTIC CENTER, LLC

Table of content: (NPI 1295788222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295788222 NPI number — HERITAGE DIAGNOSTIC CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HERITAGE DIAGNOSTIC CENTER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295788222
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1705 MAIN AVE SW
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
CULLMAN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35055-5250
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-734-8175
Provider Business Mailing Address Fax Number:
256-734-6296

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1705 MAIN AVE SW
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
CULLMAN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35055-5250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-734-8175
Provider Business Practice Location Address Fax Number:
256-734-6296
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GUTHRIE
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
256-734-8175

Provider Taxonomy Codes

  • Taxonomy code: 261QM1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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