Organization
LIMESTONE RADIOLOGY ASSOCIATES PC
Active
Other names
Valley Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M CANNON M.D. (PRESIDENT & OWNER)
(256) 233-2158
Entity
Organization
Contact information
Practice address
22281 US HIGHWAY 72, SUITE B, ATHENS, AL 35613-2600
(256) 233-2158
(256) 230-6825
Mailing address
22281 US HIGHWAY 72, SUITE B, ATHENS, AL 35613-2600
(256) 233-2158
(256) 230-6825
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051512501CAN
BLUE CROSS BLUE SHIELD PROVIDER
AL
05
—
CA009904395
—
AL
05
—
LI528903370
—
AL
Enumeration date
01/31/2007
Last updated
01/21/2010
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