MEDICARE: RUSSELLVILLE DIAGNOSTICS CENTER, 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
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1568799344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUSSELLVILLE DIAGNOSTICS CENTER, LLC

Provider Business Mailing Address
First Line	:	13150 HIGHWAY 43
Second Line	:	SUITE 11
City	:	RUSSELLVILLE
State	:	AL
Zip	:	35653-4558
Country	:	US
Telephone Number	:	256-332-1996
Fax Number	:	256-332-1998

Provider Business Practice Location Address
First Line	:	13150 HIGHWAY 43
Second Line	:	SUITE 11
City	:	RUSSELLVILLE
State	:	AL
Zip	:	35653-4558
Country	:	US
Telephone Number	:	256-332-1996
Fax Number	:	256-332-1998

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RANDALL SPRADLIN
Credential	:
Telephone Number	:	205-665-7001

Provider Enumeration Date	:	11/16/2009
Last Update Date	:	11/16/2009

Similar Medicare Providers

1710972385 — KEVIN GERARD KELLY
Practice Location Address:

13150 HIGHWAY 43 , SUITE 10
RUSSELLVILLE, AL
35653-4558

Practice Phone: 256-332-5901
Practice Fax: 256-332-6911

1366474397 — FREDS STORES OF TENNESSEE INC
Practice Location Address:

13150 HIGHWAY 43
RUSSELLVILLE, AL
35653-4558

Practice Phone: 256-331-5031
Practice Fax: 256-331-9390

1063594539 — RUSSELLVILLE MUSCULOSKELETAL CENTER INC.
Practice Location Address:

13150 HIGHWAY 43 , SUITE 12
RUSSELLVILLE, AL
35653-4558

Practice Phone: 256-332-6215
Practice Fax: 256-331-3430

1689837288 — NORTHWEST SLEEP CENTER PC
Practice Location Address:

13150 HIGHWAY 43 , SUITE 13
RUSSELLVILLE, AL
35653-4558

Practice Phone: 256-332-6363
Practice Fax:

1639406416 — URGENT CARE OF RUSSELLVILLE, LLC
Practice Location Address:

13150 HIGHWAY 43 , SUITE 10
RUSSELLVILLE, AL
35653-4558

Practice Phone: 256-331-2092
Practice Fax: 256-331-2096

1821325606 — URGENT CARE OF RUSSELLVILLE, LLC
Practice Location Address:

13150 HIGHWAY 43 , SUITE 10
RUSSELLVILLE, AL
35653-4558

Practice Phone: 256-331-2092
Practice Fax: 256-331-2096

Directions to “RUSSELLVILLE DIAGNOSTICS CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.