NPIMap

Organization Active NPI

Walker Medical Diagnostics, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Jasper, AL
National Provider Identifier
1881808400
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
WALKER MEDICAL DIAGNOSTICS, LLC
Practice address
1450 Jones Dairy Rd Ste 600
Jasper, AL 35501-6109
Phone
(205) 295-4106
Fax
(205) 295-4101
NPI assigned
May 10, 2007
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Lee Stephens
Title
Administrator
Phone
(205) 295-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

1450 Jones Dairy Rd Ste 600
Jasper, AL 35501-6109

Mailing address

1450 Jones Dairy Rd Ste 600
Jasper, AL 35501-6109
Phone (205) 295-4106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000473 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8921000845 Practice locations: Jasper, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Walker Medical Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31040 1st Ave NE
Ste 4
Carbon Hill, AL 35549
Phone (205) 924-4441

1450 Jones Dairy Rd
Bldg 6
Jasper, AL 35501
Phone (205) 295-4100

1450 Jones Dairy Rd
Bldg 600
Jasper, AL 35501
Phone (205) 295-4106

1450 Jones Dairy Rd
Ste 500
Jasper, AL 35501
Phone (205) 295-4290

1450 Jones Dairy Rd
Ste 600
Jasper, AL 35501
Phone (205) 295-4100

1450 Jones Dairy Rd
Ste 700
Jasper, AL 35501
Phone (205) 295-4200

1450 Jones Dairy Rd
Ste 800
Jasper, AL 35501
Phone (205) 221-6758

1450 Jones Dairy Rd
Ste 900
Jasper, AL 35501
Phone (205) 387-8159

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1881808400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY RD STE 600",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355016109",
            "telephone_number": "205-295-4106",
            "fax_number": "205-295-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY RD STE 600",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355016109",
            "telephone_number": "205-295-4106",
            "fax_number": "205-295-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER MEDICAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-295-4106"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.