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Organization

LAUDERDALE RADIOLOGY GROUP LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL VONHERRMANN MD (RADIOLOGIST)
(256) 768-8168
Entity
Organization

Contact information

Practice address
1701 VETERANS DRIVE, FLORENCE, AL 35630
(256) 768-8168
(256) 768-8322
Mailing address
PO BOX 678063, DALLAS, TX 75267-8063
(256) 768-8168
(256) 768-8322

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
00006072
AL
247100000X
Radiologic Technologist
00016553
AL
247100000X
Radiologic Technologist
00023957
AL
247100000X
Radiologic Technologist
D0137
AL
247100000X
Radiologic Technologist
MD.26676
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009934433
AL
05
009934434
AL
05
009934437
AL
05
009934439
AL
01
51039286
BC
AL
01
51039506
BC
AL
01
51507878
BC
AL
01
51519728
BC
AL
01
51540375
BC
AL
01
51543162
BC EAST BILYEU
AL
05
528202620
AL
Enumeration date
09/29/2006
Last updated
04/01/2025
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