Organization
BROOKWOOD DIAGNOSTIC IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE SKRNICH (SR DIR, REG IMAGING OPS, TENET)
(469) 893-6942
Entity
Organization
Contact information
Practice address
513 BROOKWOOD BLVD STE 100, BIRMINGHAM, AL 35209-6878
(205) 877-1000
Mailing address
PO BOX 740799, ATLANTA, GA 30374-0799
(205) 877-2453
(205) 871-0534
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
11009
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148669
UMWA
—
01
—
16-10435
UHC
—
01
—
183095
FDA#
—
01
—
33915
HEALTH PARTNER
—
Enumeration date
07/13/2006
Last updated
04/28/2016
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