Organization Active NPI

Southern Radiology Services, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Pelham, AL
National Provider Identifier
1811988462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
SOUTHERN RADIOLOGY SERVICES, LLC
Practice address
300 Cahaba Valley Cir
Pelham, AL 35124-1148
Phone
(800) 845-8183
Fax
(800) 317-2757
NPI assigned
Nov 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald Ray Pollard, PHD
Title
Managing Member
Phone
(225) 293-3363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X MS
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X AL Primary

Addresses

Primary practice location

300 Cahaba Valley Cir
Pelham, AL 35124-1148

Mailing address

5545 Superior Dr
Baton Rouge, LA 70816-8030
Phone (225) 293-3363

Other identifiers 1

IdentifierTypeStateIssuer
00126079MedicaidMS

National Provider Directory

National Provider Directory

Locations

309 S 5th St
#B
Gadsden, AL 35901
Phone (205) 543-1173

304 S Spring St
Tupelo, MS 38804
Phone (662) 841-2820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811988462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 SUPERIOR DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168030",
            "telephone_number": "225-293-3363",
            "fax_number": "225-293-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAHABA VALLEY CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241148",
            "telephone_number": "800-845-8183",
            "fax_number": "800-317-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN RADIOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-293-3363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126079",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.