Organization Active NPI

Carmichael Imaging, LLC

  • Diagnostic Radiology Physician
  • Montgomery, AL
National Provider Identifier
1497707111
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CARMICHAEL IMAGING, LLC
Practice address
4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone
(334) 273-2320
Fax
(334) 273-2386
NPI assigned
May 17, 2006
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mr. Venty Butts
Title
Administrator
Phone
(334) 387-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

4145 Carmichael Rd
Montgomery, AL 36106-2803

Mailing address

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-2320

Other identifiers 1

IdentifierTypeStateIssuer
051550934MedicaidAL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4147 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-2317

1023 Medical Center Pkwy
Ste 110
Selma, AL 36701
Phone (334) 375-4777

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1497707111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-2320",
            "fax_number": "334-273-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMICHAEL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "VENTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-387-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550934",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.