Organization Active NPI

Pet CT of Mobile LLC

  • Body Imaging Physician
  • Mobile, AL
National Provider Identifier
1811051675
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
PET CT OF MOBILE LLC
Practice address
100 Memorial Hospital Dr
Suite 1E
Mobile, AL 36608
Phone
(251) 316-3868
Fax
(251) 316-3583
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Mr. Joseph Rowen Zurfluh
Title
Manager
Phone
(251) 633-0573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X Primary

Addresses

Primary practice location

100 Memorial Hospital Dr
Suite 1E
Mobile, AL 36608

Mailing address

PO Box 7687
Mobile, AL 36670-0687
Phone (251) 316-3868

Other identifiers 1

IdentifierTypeStateIssuer
P00450207OtherALRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070323000347 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698879088 Receives reassigned benefits from 2 practitioners
Practice locations: Mobile, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2034565Pet CT of Mobile LLC100 Memorial Hospital Dr Suite 1E, Mobile, AL 36608Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory

Locations

100 Memorial Hospital Dr
Ste 1E
Mobile, AL 36608
Phone (251) 316-3868

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1811051675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700687",
            "telephone_number": "251-316-3868",
            "fax_number": "261-316-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR",
            "address_2": "SUITE 1E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-316-3868",
            "fax_number": "251-316-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET CT OF MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "ZURFLUH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROWEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "251-633-0573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00450207",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.