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Organization
BROOKWOOD DIAGNOSTIC IMAGING CENTER, LLC
Active
Organization
BROOKWOOD DIAGNOSTIC IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE SKRNICH (SR DIR, REG IMAGING OPS, TENET)
(469) 893-6942
Entity
Organization
Contact information
Practice address
513 BROOKWOOD BLVD STE 100, BIRMINGHAM, AL 35209-6878
(205) 877-1000
Mailing address
PO BOX 740799, ATLANTA, GA 30374-0799
(205) 877-2453
(205) 871-0534
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
11009
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148669
UMWA
—
01
—
16-10435
UHC
—
01
—
183095
FDA#
—
01
—
33915
HEALTH PARTNER
—
Enumeration date
07/13/2006
Last updated
04/28/2016
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