Healthcare Provider Details

I. General information

NPI: 1740262476
Provider Name (Legal Business Name): SPRINGHILL DIAGNOSTIC RADIOLOGISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 06/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 DAUPHIN ST
MOBILE AL
36608-1753
US

IV. Provider business mailing address

PO BOX 91628
MOBILE AL
36691-1628
US

V. Phone/Fax

Practice location:
  • Phone: 251-471-3921
  • Fax: 251-476-5460
Mailing address:
  • Phone: 251-460-0326
  • Fax: 251-460-2846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID U INGE
Title or Position: PARTNER
Credential: M.D.
Phone: 251-460-5388