Organization
BIRMINGHAM PET IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY R HARRIS (DIRECTOR)
(205) 978-0347
Entity
Organization
Contact information
Practice address
1425 MONTGOMERY HWY, SUITE 173, BIRMINGHAM, AL 35216-3679
(205) 978-0347
(205) 978-0349
Mailing address
PO BOX 18006, HUNTSVILLE, AL 35804-8006
(256) 533-2311
(256) 533-2231
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1392
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00139607
MEDICARE RR PALMETTO GBA
AL
Enumeration date
01/17/2006
Last updated
02/22/2008
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