Scottsboro Diagnostic Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD18162 Issued in AL

Legal business name

SCOTTSBORO DIAGNOSTIC CENTER LLC

Practice address

506 Harley Street
Scottsboro, AL 35768-4219

Phone

(256) 574-6157

Fax

(256) 259-0560

NPI assigned

Aug 3, 2012

Last updated

Aug 3, 2012By 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

Mr. Zaheer A Khan, M.D.

Title

Owner

Phone

(256) 506-5196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1396092730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HARLEY STREET",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684219",
            "telephone_number": "256-574-6157",
            "fax_number": "256-259-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HARLEY STREET",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684219",
            "telephone_number": "256-574-6157",
            "fax_number": "256-259-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSBORO DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAHEER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-506-5196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "MD18162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sanders
• John Thomas Sanders
• Scottsboro Chiropractic Clinic P.C.
• Scottsboro Chiropractic Clinic PC
• Scottsboro City
• Scottsboro Emergency Group LLC
• Scottsboro ENT, PC (Dekalb Ear, Nose & Throat)
• Scottsboro Family and General Dentistry PC
• Scottsboro Family Pharmacy, LLC
• Scottsboro Family Physicians PC

• Clinic/Center in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.