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General NPI Number Information
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NPI Number | 1255799847
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Entity Type | Organization
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Legal Business Name | CENTRAL ALABAMA DIAGNOSTICS LLC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 5018 CAHABA RIVER RD
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City | VESTAVIA
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State | AL
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Zip | 35243-2317
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Country | US
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Telephone | 205-453-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 1286 OAK GROVE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6929
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Country | US
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Telephone | 205-329-7519
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. MATTHEW THOMAS LEMAK
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Credential |
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Telephone | 205-329-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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