Provider Type Icon

FORT PAYNE MRI LLC NPI 1730145988


NPI Information

NPI: 1730145988
Provider Name: FORT PAYNE MRI LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 01D2160358

Address:
1110 GLENN BLVD SW
SUITE 100
FORT PAYNE, AL
ZIP 35967
Phone: (256) 845-9402
Get Directions

FORT PAYNE MRI LLC is a diagnostic radiology radiology in Fort Payne, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FORT PAYNE MRI LLC NPI is 1730145988. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1110 GLENN BLVD SW
SUITE 100
FORT PAYNE, AL
ZIP 35967-486
Phone: (256) 845-9402
Fax: (256) 845-9410

The provider's authorized official is James W. Holmes .
The authorized official title is Chief Operating Officer and has the following contact phone number (337) 291-9161.

The CLIA number assigned to this NPI record is 01D2160358 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 2/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00312517MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.