1922058528 NPI number — PIN POINT RADIOLOGY MANAGEMENT, L.P.

Table of content: (NPI 1922058528)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922058528 NPI number — PIN POINT RADIOLOGY MANAGEMENT, L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PIN POINT RADIOLOGY MANAGEMENT, L.P.
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:
1922058528
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2153
Provider Second Line Business Mailing Address:
DEPT 5197
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35287-0002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-772-4300
Provider Business Mailing Address Fax Number:
803-772-4031

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2850 19TH ST S
Provider Second Line Business Practice Location Address:
SUITE 350
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-2612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-815-6634
Provider Business Practice Location Address Fax Number:
205-802-7549
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
Authorized Official Title or Position:
CONTROLLER
Authorized Official Telephone Number:
205-815-6634

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 500120209 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: Q0202 . This is a "MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: APPLYING , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8489 . This is a "MEDICARE" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 201121 . This is a "BCBS" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 59486 . This is a "HEALTHCARE USA" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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