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Organization

MARSHALL IMAGING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLENE GOODWIN (CREDENTIALING MANAGER)
(205) 868-6209
Entity
Organization

Contact information

Practice address
11491 US HIGHWAY 431, ALBERTVILLE, AL 35950-0136
(256) 894-6950
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-1258
(205) 871-4274
(205) 871-4301

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center

Other

Enumeration date
10/04/2006
Last updated
07/11/2008
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