NPI 1013195254

Childersburg Diagnostic Imaging, LLC

Organisation Physiological Laboratory Childersburg, AL

Practice location

Address: 34011 US Highway 280, Childersburg, AL 35044-2128
Phone: (256) 378-3313
Mailing address: PO Box 349, Childersburg, AL 35044-0349

Authorised official

Name: Michael T Bice
Title: Administrator
Phone: (256) 378-3313

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 11948 (AL)

Other Physiological Laboratory providers in Alabama →

Registry record

NPI: 1013195254
Entity type: Organization
NPI issued: 8 Feb 2008
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.