Organization
OPEN MRI OF SHELBY, LLC
Active
Other names
ImageSouth Shelby
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BROWN (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization
Contact information
Practice address
224 1ST ST N, SUITE 150, ALABASTER, AL 35007-8742
(205) 663-4674
(205) 663-4807
Mailing address
PO BOX 932545, ATLANTA, GA 31193-2545
(205) 995-9899
(205) 995-1255
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023040409
N. MELINDA BERGQUIST, MD
AL
01
—
1124000344
RUTH SNOW, MD
AL
01
—
1235111451
CECIL EILAND, MD
AL
01
—
1306051164
JAMES SPANN, M.D NPI #
AL
01
—
1427030642
ROBERT EICHELBERGER, MD
AL
01
—
1600471
UHC - PROVIDER ID
AL
01
—
51116991
JAMES SPANN, M.D. - BCBS ID #
AL
01
—
51551244
BCBS - FACILITY ID #
AL
05
—
529909650
—
AL
Enumeration date
01/30/2006
Last updated
10/28/2020
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