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Organization
OPEN MRI OF SHELBY, LLC
Active
Organization
OPEN MRI OF SHELBY, LLC
Active
Other names
ImageSouth Shelby
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BROWN (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization
Contact information
Practice address
224 1ST ST N, SUITE 150, ALABASTER, AL 35007-8742
(205) 663-4674
(205) 663-4807
Mailing address
PO BOX 932545, ATLANTA, GA 31193-2545
(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
—
1600471
UHC - PROVIDER ID
AL
01
—
51116991
JAMES SPANN, M.D. - BCBS ID #
AL
01
—
51551244
BCBS - FACILITY ID #
AL
05
—
529909650
—
AL
Enumeration date
01/30/2006
Last updated
10/28/2020
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