Organization Name: | PIKE RADIOLOGY |
NPI Number: | 1003918806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY L EAKES (SUPERVISING RADIOLOGIST) |
Mailing Address: | 1330 Highway 231 S Troy |
State: | AL US |
Postal Code: | 360813058 |
Phone Number: | 3345662783 |
Fax Number: | 3346705369 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |