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Organization
DIGITAL DIAGNOSTIC IMAGING INC
Active
Organization
DIGITAL DIAGNOSTIC IMAGING INC
Active
Other names
DDI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN LEE VICKERY CNMT (VICE PRESIDENT)
(256) 764-7676
Entity
Organization
Contact information
Practice address
416 W DR HICKS BLVD, FLORENCE, AL 35630-6101
(256) 764-7676
(256) 764-5955
Mailing address
416 W DR HICKS BLVD, FLORENCE, AL 35630-6101
(256) 764-7676
(256) 764-5955
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
11920
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51510288
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/07/2006
Last updated
08/22/2020
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