Organization
SOUTHERN RADIOLOGY SERVICES, LLC
Active
Organization
SOUTHERN RADIOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD RAY POLLARD PHD (MANAGING MEMBER)
(225) 293-3363
Entity
Organization
Contact information
Practice address
300 CAHABA VALLEY CIR, PELHAM, AL 35124-1148
(800) 845-8183
(800) 317-2757
Mailing address
5545 SUPERIOR DR, BATON ROUGE, LA 70816-8030
(225) 293-3363
(225) 293-0245
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
AL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126079
—
MS
Enumeration date
11/02/2005
Last updated
08/22/2020
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