Organization
DIGITAL DIAGNOSTIC IMAGING INC
Active
Other names
DDI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN LEE VICKERY CNMT (VICE PRESIDENT)
(256) 764-7676
Entity
Organization
Contact information
Practice address
416 W DR HICKS BLVD, FLORENCE, AL 35630-6101
(256) 764-7676
(256) 764-5955
Mailing address
416 W DR HICKS BLVD, FLORENCE, AL 35630-6101
(256) 764-7676
(256) 764-5955
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
11920
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51510288
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/07/2006
Last updated
08/22/2020
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