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Organization
CHILDERSBURG DIAGNOSTIC IMAGING, LLC
Active
Organization
CHILDERSBURG DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BICE (ADMINISTRATOR)
(256) 378-3313
Entity
Organization
Contact information
Practice address
30411 HWY 280, CHILDERSBURG, AL 35178
(256) 378-3313
(256) 378-3315
Mailing address
P. O. BOX 349 30411, HWY 280, CHILDERSBURG, AL 35178
(256) 378-3313
(256) 378-3315
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
11948
AL
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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