Organization
SOUTH ALABAMA DIAGNOSTIC IMAGING
Active
Other names
OMNI MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C TOMBERLIN MD (OWNER)
(334) 684-7156
Entity
Organization
Contact information
Practice address
1200 W MAPLE AVE, GENEVA, AL 36340-1642
(334) 684-7156
(334) 684-7709
Mailing address
PO BOX 279, 1200 W MAPLE AVE, GENEVA, AL 36340-0279
(334) 684-7156
(334) 684-7709
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
10925
AL
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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