Active NPI
Decatur Health Imaging L L C
- Radiology Clinic/Center
- Decatur, AL
National Provider Identifier
1508973017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- DECATUR HEALTH IMAGING L L C
- Practice address
- 1123 16TH Ave SE
Decatur, AL 35601-3534 - Phone
- (256) 350-6364
- Fax
- (256) 351-8436
- NPI assigned
- Aug 23, 2006
- Organization subpart
- Yes
- Parent organization
- MOLECULAR IMAGING TECHNOLOGIES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Larkin
- Title
- Cfo
- Phone
- (800) 544-3215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
1123 16TH Ave SE
Decatur, AL 35601-3534
Mailing address
18201 Von Karman Ave Ste 600
Irvine, CA 92612-1176
Phone (800) 544-3215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529922450 | Medicaid | AL |
Other names 1
- OMI Management of Decatur
National Provider Directory
National Provider DirectoryLocations
1123 16th Ave SE
Decatur, AL 35601
Phone (256) 350-6364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1508973017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18201 VON KARMAN AVE STE 600",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121176",
"telephone_number": "800-544-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 16TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013534",
"telephone_number": "256-350-6364",
"fax_number": "256-351-8436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECATUR HEALTH IMAGING L L C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOLECULAR IMAGING TECHNOLOGIES",
"enumeration_date": "2006-08-23",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "LARKIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "800-544-3215"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529922450",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OMI Management of Decatur",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Decatur, AL
- Decatur General Hospital
- Decatur General Hospital
- Decatur General Hospital
- Decatur General Hospital
- Decatur General Oncology Center, LLC
- Decatur Internal Medicine Center, P.C.
- Decatur Maxillofacial & Cosmetic Surgery Center
- Decatur Med-Surg Clinic, LLC
- Decatur Medical & Wellness Group PLLC
- Decatur Morgan Emergency Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.