Active NPI
Digital Diagnostic Imaging Inc
Doing business as Ddi
- Physiological Laboratory
- Florence, AL
National Provider Identifier
1053414847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- License
- 11920
- Legal business name
- DIGITAL DIAGNOSTIC IMAGING INC
- Doing business as
- Ddi
- Practice address
- 416 W Dr Hicks Blvd
Florence, AL 35630-6101 - Phone
- (256) 764-7676
- Fax
- (256) 764-5955
- NPI assigned
- Sep 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Lee Vickery, CNMT
- Title
- Vice President
- Phone
- (256) 764-7676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | 11920 | AL | Primary |
Addresses
Primary practice location
416 W Dr Hicks Blvd
Florence, AL 35630-6101
Mailing address
416 W Dr Hicks Blvd
Florence, AL 35630-6101
Phone (256) 764-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51510288 | Other | AL | BLUE CROSS BLUE SHIELD |
Other names 1
- DDI
National Provider Directory
National Provider DirectoryLocations
416 W Dr Hicks Blvd
Florence, AL 35630
Phone (256) 764-7676
1111 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 314-1499
3856 Highway 57 W
Ramer, TN 38367
Phone (731) 645-6118
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Flowood, MS
- NPI 1407991086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053414847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 W DR HICKS BLVD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356306101",
"telephone_number": "256-764-7676",
"fax_number": "256-764-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 W DR HICKS BLVD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356306101",
"telephone_number": "256-764-7676",
"fax_number": "256-764-5955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITAL DIAGNOSTIC IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VICKERY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "256-764-7676",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CNMT"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "AL",
"license": "11920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51510288",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DDI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.