Organization
MONTCLAIR ROAD IMAGING, LLC
Active
Parent organization
MONTCLAIR ROAD IMAGING, LLC
Other names
ImageSouth Diagnostics, ImageSouth PET/CT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTCLAIR ROAD IMAGING, LLC
Authorized official
JOSEPH PAUL (PRESIDENT)
(706) 256-3450
Entity
Organization
Contact information
Practice address
1 INDEPENDENCE PLZ STE 140, HOMEWOOD, AL 35209-2629
(205) 870-1979
(205) 870-1929
Mailing address
PO BOX 931108, ATLANTA, GA 31193-1108
(205) 870-1979
(205) 870-1929
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
07/21/2017
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