# DIAGNOSTIC CLINIC P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104993526
- **Authorized official:** JUDY A VANCLEAVE (OFFICE MGR.)
- **Authorized official phone:** (256) 880-8828

## Contact information

- **Practice address:** 185 WHITESPORT DR SW, SUITE 1, HUNTSVILLE, AL 35801-6486
- **Practice address phone:** (256) 880-8828
- **Practice address fax:** (256) 880-8756
- **Mailing address:** 185 WHITESPORT DR SW, SUITE 1, HUNTSVILLE, AL 35801-6486
- **Mailing address phone:** (256) 880-8828
- **Mailing address fax:** (256) 880-8756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 14493 | AL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 10/24/2007