American Health Imaging of Alabama LLC
Organization Active NPI Radiology Clinic/Center · Alabaster, AL
NPI 1164029948 · NPPES record last updated Nov 21, 2024
Key facts
- NPI
- 1164029948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- AMERICAN HEALTH IMAGING OF ALABAMA LLC
- Practice address
- 224 1St St N Ste 150
Alabaster, AL 35007-9081 - Phone
- (205) 663-4674
- NPI assigned
- Oct 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Katrina Roelle
- Title
- Director of Credentialing
- Phone
- (614) 689-1691
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 6
Practitioners 39
-
Daniel Barton Booth, M.D.
-
Robert Desha Hines IV, M.D.
-
Taylor Kuhlman, MD
-
Trevor Alden Lundstrom, M.D.
-
Allen Nawrocki, M.D.
-
Allen Benensohn Oser, M.D.
-
Wilkes Banks Petrey, M.D.
-
Emily S Riser, MD
-
Michael Brant Ruff, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1083736 | American Health Imaging of Shelby | Certificate of waiver | May 7, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210105001824 | AL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5991694143 | Practice locations: Alabaster, AL |
National Provider Directory
- Tax ID family
- American Health Imaging of Alabama LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
224 1St St N Ste 150
Alabaster, AL 35007-9081
Mailing address
PO Box 745973
Atlanta, GA 30374-5973
Other names
- American Health Imaging of Shelby
Other providers in Alabaster, AL
- Alpha Kids Therapy Services, LLC
- Ginger L. Alred
- Altea Medical Alabama LLC
- Ashlyn Alves
- American Family Care, LLC
- James Anderson
- Lindsay S Anderson
- Scott Alan Anderson
- Appletree Home Medical Equipment
- Amanda Michelle Arceneaux
All providers in Alabaster, AL · Radiology Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.