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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