Organization
EASTSIDE P.E.T. CENTER, LLC
Active
Organization
EASTSIDE P.E.T. CENTER, LLC
Active
Other names
UAB St. Vincent's East P.E.T. Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J. WELLS CPCO (VICE-PRESIDENT)
(205) 221-8258
Entity
Organization
Contact information
Practice address
46 MEDICAL PARK DR E, STE 224, BIRMINGHAM, AL 35235-3401
(205) 838-3738
(205) 838-6738
Mailing address
406 MEDICAL CENTER DR, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
06/30/2025
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