# SOUTHEAST IMAGING PARTNERS LLC

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

## Provider details

- **NPI number:** 1538244439
- **Authorized official:** MR. RICK L STUKES (MANAGING PARTNER)
- **Authorized official phone:** (205) 221-3352

## Contact information

- **Practice address:** 1405 VALLEY RD, JASPER, AL 35501-4932
- **Practice address phone:** (205) 221-3352
- **Practice address fax:** (205) 221-3352
- **Mailing address:** PO BOX 402, JASPER, AL 35502
- **Mailing address phone:** (205) 221-3352
- **Mailing address fax:** (205) 221-3352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 11954 | AL | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 07/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0515555049 | — | AL |