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Organization

CAMELLIA IMAGING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONIKA TATARIA M.D. (PRESIDENT)
(205) 544-2828
Entity
Organization

Contact information

Practice address
2068 VALLEYDALE RD, HOOVER, AL 35244-2092
(205) 544-2828
(205) 267-0192
Mailing address
2068 VALLEYDALE RD, HOOVER, AL 35244-2092
(205) 544-2828
(205) 783-1208

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.30928
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750597670
INDIVIDUAL NPI
Enumeration date
09/13/2016
Last updated
01/18/2017
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