Organization Active NPI

Decatur Health Imaging L L C

  • Radiology Clinic/Center
  • Decatur, AL
National Provider Identifier
1508973017
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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 TECHNOLOGIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
529922450MedicaidAL

Other names 1

  • OMI Management of Decatur Other name

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.