Organization
DIAGNOSTICS MANAGEMENT INC
Active
Other names
Mulberry Diagnostic Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRIAN WELCH (MANAGER)
(334) 264-9729
Entity
Organization
Contact information
Practice address
2100 CHESTNUT ST, MONTGOMERY, AL 36106-1113
(334) 264-9729
(334) 264-9729
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00007581
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051004010
BCBS
AL
05
—
102425
—
AL
Enumeration date
08/30/2006
Last updated
06/07/2010
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