DEKALB RADIOLOGIST GROUP, LLC; NPI #1891848784

Contact Information

DEKALB RADIOLOGIST GROUP, LLC

200 MEDICAL CENTER DRIVE
FORT PAYNE, AL 35968

Phone: 256-997-2189
Fax: 256-638-7445
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for DEKALB RADIOLOGIST GROUP, LLC

NPI #	`1891848784`
LBN Legal business name	DEKALB RADIOLOGIST GROUP, LLC
Authorized official	BRADLEY COCKRAN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/22/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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