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Organization

MONTCLAIR ROAD IMAGING, LLC

Active
Other names
ImageSouth Montclair Road
Organization subpart
No

Provider details

NPI number
Authorized official
TRACI BROWN (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization

Contact information

Practice address
924 MONTCLAIR RD, SUITE 108, BIRMINGHAM, AL 35213-1211
(205) 592-4674
(205) 592-4670
Mailing address
PO BOX 931108, ATLANTA, GA 31193-1108
(205) 995-9899
(205) 995-1255

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023040409
N. MELINDA BERGQUIST, MD
AL
01
1124000344
RUTH SNOW, MD
AL
01
1235111451
CECIL EILAND, MD
AL
01
1306051164
JAMES SPANN, M.D., NPI #
AL
01
1427030642
ROBERT EICHELBERGER, MD
AL
01
1610921
UHC - PROVIDER ID #
AL
01
470000833
RAILROAD MEDICARE
AL
01
51056277
BCBS - FACILITY ID #
AL
01
51116990
JAMES SPANN, M.D. - BCBS OF ALABAMA
AL
05
529906970
AL
Enumeration date
01/30/2006
Last updated
10/28/2020
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