Organization
SOUTHERN IMAGING SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK G. HOWARD (MANAGING MEMBER)
(337) 291-9161
Entity
Organization
Contact information
Practice address
465 SAINT LUKES DR, MONTGOMERY, AL 36117-7107
(334) 279-8370
(334) 279-8572
Mailing address
465 SAINT LUKES DR, MONTGOMERY, AL 36117-7107
(334) 279-8370
(334) 279-8572
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557566
—
AL
Enumeration date
04/25/2006
Last updated
03/03/2015
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