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Organization
MONTCLAIR ROAD IMAGING, LLC
Active
Organization
MONTCLAIR ROAD IMAGING, LLC
Active
Other names
ImageSouth Montclair Road
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BROWN (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization
Contact information
Practice address
924 MONTCLAIR RD, SUITE 108, BIRMINGHAM, AL 35213-1211
(205) 592-4674
(205) 592-4670
Mailing address
PO BOX 931108, ATLANTA, GA 31193-1108
(205) 995-9899
(205) 995-1255
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023040409
N. MELINDA BERGQUIST, MD
AL
01
—
1124000344
RUTH SNOW, MD
AL
01
—
1235111451
CECIL EILAND, MD
AL
01
—
1306051164
JAMES SPANN, M.D., NPI #
AL
01
—
1427030642
ROBERT EICHELBERGER, MD
AL
01
—
1610921
UHC - PROVIDER ID #
AL
01
—
470000833
RAILROAD MEDICARE
AL
01
—
51056277
BCBS - FACILITY ID #
AL
01
—
51116990
JAMES SPANN, M.D. - BCBS OF ALABAMA
AL
05
—
529906970
—
AL
Enumeration date
01/30/2006
Last updated
10/28/2020
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