Healthcare Provider Details

I. General information

NPI: 1821202615
Provider Name (Legal Business Name): DIAGNOSTIC HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2764 PELHAM PKWY
PELHAM AL
35124-1702
US

IV. Provider business mailing address

2764 PELHAM PKWY
PELHAM AL
35124-1702
US

V. Phone/Fax

Practice location:
  • Phone: 205-685-5000
  • Fax: 205-262-8704
Mailing address:
  • Phone: 205-685-5000
  • Fax: 205-262-8704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSA H HOOPER
Title or Position: VICE PRESIDENT
Credential:
Phone: 205-685-5000