South Alabama Diagnostic Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

10925 Issued in AL

Legal business name

SOUTH ALABAMA DIAGNOSTIC IMAGING

Doing business as

Omni MRI

Practice address

1200 W Maple Ave
Geneva, AL 36340-1642

Phone

(334) 684-7156

Fax

(334) 684-7709

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John C Tomberlin, MD

Title

Owner

Phone

(334) 684-7156

Specialties & licenses 1

Addresses

Other names 1

• OMNI MRI Doing business as

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295805596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "address_2": "1200 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363400279",
            "telephone_number": "334-684-7156",
            "fax_number": "334-684-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401642",
            "telephone_number": "334-684-7156",
            "fax_number": "334-684-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMBERLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-684-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AL",
            "license": "10925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Chancey Pellot, PHARMD
• Bobbi Houston Pippins, LICSW-S
• David Hyatt Pope, MD
• John Franklin Simmons, M.D
• John Franklin Simmons Jr., MD
• South Alabama Diagnostic Imaging, P.C.
• Southeast Alabama Rural Health Associates
• Southeast Alabama Rural Health Associates (Geneva Family Health Center)
• Southern Family Practice,LLC
• State of Alabama

• Radiology Clinic/Center in Geneva, AL
• Providers in Geneva, AL by specialty
• Radiology Clinic/Center in Alabama

• 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.