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NPI Code Detail

MEDICARE: CARMICHAEL IMAGING, LLC

MEDICARE: CARMICHAEL IMAGING, 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
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497707111
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARMICHAEL IMAGING, LLC
Provider Business Mailing Address
First Line : 4145 CARMICHAEL RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-2803
Country : US
Telephone Number : 334-273-2320
Fax Number :
Provider Business Practice Location Address
First Line : 4145 CARMICHAEL RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-2803
Country : US
Telephone Number : 334-273-2320
Fax Number : 334-273-2386
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. VENTY BUTTS
Credential :
Telephone Number : 334-387-1100
Provider Enumeration Date : 05/17/2006
Last Update Date : 10/17/2008

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Directions to “CARMICHAEL IMAGING, LLC ” Practice Location

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