National Provider Identifier Database

RURAL IMAGING SOUTHEAST LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

RURAL IMAGING SOUTHEAST LLC
781 4TH AVE STE A
YORK, AL36925-2103
Phone: 334-830-7215
Fax: 334-222-2583
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for RURAL IMAGING SOUTHEAST LLC

NPI Number 1467623264
Legal business name
LBN
RURAL IMAGING SOUTHEAST LLC
Authorized official BOBBY BURKETT - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/19/2008
Last updated 10/28/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: I2002
  • AL Medicaid: 009966385
  • AL Medicaid: 529920840
  • AL Other: 51519466 BLUE CROSS BLUE SHIELD
  • AL Other: 051554594 MEDICARE PROVIDER NUMBER
  • AL Other: P00145028 RAILROAD PROVIDER NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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