Healthcare Provider Details

I. General information

NPI: 1730164765
Provider Name (Legal Business Name): AMERICAN HEALTH IMAGING OF ALABAMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 4TH AVE S SUITE 100
BIRMINGHAM AL
35233-2029
US

IV. Provider business mailing address

PO BOX 745973
ATLANTA GA
30374-5973
US

V. Phone/Fax

Practice location:
  • Phone: 205-251-1300
  • Fax: 205-251-1313
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATRINA ROELLE
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 614-689-1691