NPI 1851476261

Childersburg Diagnostic Imaging, LLC

Organisation Physiological Laboratory Childersburg, AL

Practice location

Address: 30411 Hwy 280, Childersburg, AL 35178
Phone: (256) 378-3313
Fax: (256) 378-3315
Mailing address: P. O. Box 349 30411 Hwy 280, Childersburg, AL 35178

Authorised official

Name: Mike 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: 1851476261
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 22 Aug 2020

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.