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Organization
EASTSIDE P.E.T. CENTER, LLC
Active
Organization
EASTSIDE P.E.T. CENTER, LLC
Active
Other names
UAB Medicine Sleep Center at One Nineteen
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J WELLS CPCO (SR. VICE PRESIDENT)
(205) 221-8258
Entity
Organization
Contact information
Practice address
7191 CAHABA VALLEY RD, BLDG 2 STE 203, HOOVER, AL 35242-6448
(205) 236-9943
(205) 236-9947
Mailing address
406 MEDICAL CENTER DR, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
293D00000X
Physiological Laboratory
—
NULL
Other
Enumeration date
03/11/2021
Last updated
09/30/2026
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