Organization
STIDHAM MEDICAL, LLC
Active
Other names
Pinnacle Mobile Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY STIDHAM (PRESIDENT/OWNER)
(256) 739-1233
Entity
Organization
Contact information
Practice address
1890 AL HIGHWAY 157 STE 220, CULLMAN, AL 35058-0689
(256) 739-1233
(256) 734-5129
Mailing address
1890 AL HIGHWAY 157 STE 220, CULLMAN, AL 35058-0689
(256) 739-1233
(256) 734-5129
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032914
—
AL
Enumeration date
05/23/2006
Last updated
03/27/2015
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