NPIMap

Organization Active NPI

Lamar Specialty Diagnostics

  • Radiology Clinic/Center
  • Sulligent, AL
National Provider Identifier
1164545604
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
LAMAR SPECIALTY DIAGNOSTICS
Practice address
49494 Highway 17
Sulligent, AL 35586-4454
Phone
(205) 698-7111
Fax
(205) 698-0516
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sherry Taylor
Title
Office Manager
Phone
(205) 698-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

49494 Highway 17
Sulligent, AL 35586-4454

Mailing address

49494 Highway 17
Sulligent, AL 35586-4454
Phone (205) 698-7111

Other identifiers 2

IdentifierTypeStateIssuer
051554656MedicaidAL
515-26163OtherALBCBS OF ALABAMA PROV #

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1164545604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49494 HIGHWAY 17",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355864454",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49494 HIGHWAY 17",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355864454",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR SPECIALTY DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-698-7111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554656",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA PROV #",
            "identifier": "515-26163",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulligent, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.