Organization
RENAISSANCE IMAGING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY PRESTON (PARTNER)
(256) 246-0814
Entity
Organization
Contact information
Practice address
2457 MALL RD, FLORENCE, AL 35630-2809
(256) 246-0814
Mailing address
2457 MALL RD, FLORENCE, AL 35630-2809
(256) 246-0814
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051558791
—
AL
01
—
P00461978
RAILROAD MEDICARE
AL
Enumeration date
02/19/2007
Last updated
10/11/2010
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