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NPI Code Detail

MEDICARE: CENTRAL ALABAMA DIAGNOSTICS LLC

MEDICARE: CENTRAL ALABAMA DIAGNOSTICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center
22085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1255799847
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL ALABAMA DIAGNOSTICS LLC
Provider Business Mailing Address
First Line : 1286 OAK GROVE RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-6929
Country : US
Telephone Number : 205-329-7519
Fax Number :
Provider Business Practice Location Address
First Line : 5018 CAHABA RIVER RD
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2317
Country : US
Telephone Number : 205-453-7525
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. MATTHEW THOMAS LEMAK
Credential :
Telephone Number : 205-329-7530
Provider Enumeration Date : 02/10/2016
Last Update Date : 10/09/2025

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Directions to “CENTRAL ALABAMA DIAGNOSTICS LLC ” Practice Location

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