Active NPI
Southern Radiology Services, LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Pelham, AL
National Provider Identifier
1811988462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126079 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Birmingham, AL
- NPI 1881683365
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
- Sound Mind Counseling LLC
- South Shelby Wellness, LLC
- Joanna Poland Southard, P.T.
- Southern Oaks Residential Academy (Southern Oaks Center)
- Southern Radiology Services
- Jasmine Enise Spruill, CCC-SLP
- Lauren E Stark
- State of Alabama Department of Public Health (Shelby County Health Dept Flu-Pneu)
- Staywell Counseling
- Colton Norman Steadman, FNP-C
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.