Organization Name: | CAHABA VALLEY IMAGING, LLC |
NPI Number: | 1215268446 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES MICHAEL MEAD (PRESIDENT) |
Mailing Address: | 201 Racquet Club Lane Pelham |
State: | AL US |
Postal Code: | 35124 |
Phone Number: | 2054181212 |
Fax Number: | 2054181214 |
NPI Enumeration Date: | 01/28/2010 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 17189 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |