Organization Active NPI

Digital Diagnostic Imaging Inc

Doing business as Ddi

  • Physiological Laboratory
  • Florence, AL
National Provider Identifier
1053414847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
11920 Issued in AL
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51510288OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • DDI Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.