Organization
EASTSIDE P.E.T. CENTER, LLC
Active
Other names
UAB Medicine Sleep Center at One Nineteen
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J. WELLS CPCO (VICE-PRESIDENT)
(205) 221-8258
Entity
Organization
Contact information
Practice address
7191 CAHABA VALLEY RD, BLDG 2 STE 203, HOOVER, AL 35242-6448
(205) 236-9943
(205) 236-9947
Mailing address
406 MEDICAL CENTER DR, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
06/30/2025
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