Healthcare Provider Details

I. General information

NPI: 1255799847
Provider Name (Legal Business Name): CENTRAL ALABAMA DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5018 CAHABA RIVER RD
VESTAVIA AL
35243-2317
US

IV. Provider business mailing address

1286 OAK GROVE RD
BIRMINGHAM AL
35209-6929
US

V. Phone/Fax

Practice location:
  • Phone: 205-453-7525
  • Fax:
Mailing address:
  • Phone: 205-329-7519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW THOMAS LEMAK
Title or Position: MANAGING MEMBER
Credential:
Phone: 205-329-7530