Basic Information
| Provider Information | |||||||||
| NPI: | 1518074012 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALTH IMAGING SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1760 WARNKE CIR | ||||||||
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| City: | CULLMAN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350556038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567756656 | ||||||||
| FaxNumber: | 2567756495 | ||||||||
| Practice Location | |||||||||
| Address1: | 1930 AL HIGHWAY 157 | ||||||||
| Address2: | |||||||||
| City: | CULLMAN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350580609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567347850 | ||||||||
| FaxNumber: | 2567349633 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2006 | ||||||||
| LastUpdateDate: | 12/03/2007 | ||||||||
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| AuthorizedOfficialLastName: | NAIL | ||||||||
| AuthorizedOfficialFirstName: | KATHY | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2567347850 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.