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General NPI Number Information
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NPI Number | 1689621211
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Entity Type | Organization
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Legal Business Name | ALABAMA IMAGING PC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2055 NORMANDIE DR SUITE 200
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City | MONTGOMERY
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State | AL
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Zip | 36111-2732
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Country | US
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Telephone | 334-269-6337
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Fax | 334-834-0657
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Provider Business Mailing Address
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Address Line | 2055 NORMANDIE DR STE 200
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City | MONTGOMERY
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State | AL
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Zip | 36111-2732
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Country | US
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Telephone | 334-269-6337
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Fax | 334-834-0657
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK D LAURENT
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Credential |
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Telephone | 334-288-4624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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