| Organization Name: | VESTAVIA HILLS IMAGING CENTER, LLC |
| NPI Number: | 1902859937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEWANA LEE CAMPBELL (ADMINISTRATOR) |
| Mailing Address: | 2017 Canyon Rd Suite 25 Vestavia Hills |
| State: | AL US |
| Postal Code: | 352161903 |
| Phone Number: | 2058248262 |
| Fax Number: | 2058248264 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 02/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |