Healthcare Provider Details

I. General information

NPI: 1639251754
Provider Name (Legal Business Name): NUCLEAR CARDIOVASCULAR IMAGING CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W COLLEGE ST
FLORENCE AL
35630-5511
US

IV. Provider business mailing address

PO BOX 298
FLORENCE AL
35631-0298
US

V. Phone/Fax

Practice location:
  • Phone: 256-767-3871
  • Fax: 256-767-3808
Mailing address:
  • Phone: 256-767-7494
  • Fax: 256-760-8432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number1184
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number1184
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number11917
License Number StateAL

VIII. Authorized Official

Name: SUSAN N HALL
Title or Position: CFO
Credential:
Phone: 256-767-7494