Healthcare Provider Details

I. General information

NPI: 1164790861
Provider Name (Legal Business Name): VUEPOINT DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2011
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4268 CAHABA HEIGHTS CT SUITE 102
VESTAVIA AL
35243-5711
US

IV. Provider business mailing address

PO BOX 774
GADSDEN AL
35902-0774
US

V. Phone/Fax

Practice location:
  • Phone: 256-456-5870
  • Fax: 256-217-4753
Mailing address:
  • Phone: 256-456-5870
  • Fax: 256-217-4753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number StateAL

VIII. Authorized Official

Name: MARK EMANUELSEN
Title or Position: MANAGING PARTNER
Credential:
Phone: 205-612-1572