Organization
NORTHWEST DIAGNOSTICS, LLC
Active
Organization
NORTHWEST DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SPRADLIN (PRESIDENT)
(205) 655-7001
Entity
Organization
Contact information
Practice address
42104 HIGHWAY 195, HALEYVILLE, AL 35565-7053
(205) 486-2968
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
10/12/2007
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