| Organization Name: | BIRMINGHAM RADIOLOGICAL GROUP, PC |
| NPI Number: | 1003055336 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY SIMMA (CFO) |
| Mailing Address: | 1011 Lay Dam Road Clanton |
| State: | AL US |
| Postal Code: | 35045 |
| Phone Number: | 2052805622 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2009 |
| NPI Last Update Date: | 03/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |