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Contact Information

LAUDERDALE RADIOLOGY GROUP LLP
1701 VETERANS DRIVE
FLORENCE, AL35630
 Phone: 256-768-8168
 Fax: 256-768-8322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for LAUDERDALE RADIOLOGY GROUP LLP

NPI # 1073605762
LBN Legal business name LAUDERDALE RADIOLOGY GROUP LLP
Authorized official PAUL VONHERRMANN - (RADIOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 04/01/2025 - More than a year ago
Identifiers
AL License # 00006072
AL License # 00016553
AL License # 00023957
AL License # D0137
AL License # MD.26676
AL Medicaid 009934433
AL Medicaid 009934434
AL Medicaid 009934437
AL Medicaid 009934439
AL Medicaid 528202620
AL Other 51039286 BC
AL Other 51039506 BC
AL Other 51507878 BC
AL Other 51519728 BC
AL Other 51540375 BC
AL Other 51543162 BC EAST BILYEU
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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