Organization
HERITAGE DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GUTHRIE (ADMINISTRATOR)
(256) 734-8175
Entity
Organization
Contact information
Practice address
1705 MAIN AVE SW, SUITE C, CULLMAN, AL 35055-5250
(256) 734-8175
(256) 734-6296
Mailing address
1705 MAIN AVE SW, SUITE C, CULLMAN, AL 35055-5250
(256) 734-8175
(256) 734-6296
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
05/19/2006
Last updated
07/16/2012
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