Medica Stand-Up MRI of Birmingham, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

06000889 Issued in AL

Legal business name

MEDICA STAND-UP MRI OF BIRMINGHAM, LLC

Practice address

3105 Independence Dr
Suite 101
Homewood, AL 35209-4111

Phone

(205) 871-3335

Fax

(205) 871-3305

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mary Kay Baker

Title

VP of Operations

Phone

(678) 354-6766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1609814151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "SUITE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-871-3335",
            "fax_number": "205-871-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "SUITE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-871-3335",
            "fax_number": "205-871-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA STAND-UP MRI OF BIRMINGHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "678-354-6766"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AL",
            "license": "06000889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J McCool, M.D.
• Annette Doleys McCrory, PT
• Allison Cheek McKelvey, OD
• Barry Kincaid McLean, M.D.
• Martha Lynn S McPherson, CRNP
• Angele E Mele, M.S., CCC-SLP
• Joshua York Menendez, M.D.
• Cecily Metzler, NP
• Michael M. Holt, PHD PLLC
• Shavonne Qere Milhouse, CRNP

• Radiology Clinic/Center in Homewood, AL
• Providers in Homewood, 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 Oct 28, 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.