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Contact Information

RANDOLPH MEDICAL ASSOCIATES
965 US HWY 431
ROANOKE, AL36274
 Phone: 334-863-2150
 Fax: 334-863-8733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist Cardiovascular, Sonography

246XS1301X
Indicates primary specialty

NPI Profile & details for RANDOLPH MEDICAL ASSOCIATES

NPI Number 1104003987
LBN Legal business name RANDOLPH MEDICAL ASSOCIATES
Authorized official RUSSELL PETERSON - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/24/2008
Last updated 01/24/2008 - About 18 years ago
Identifiers
AL License # D0436
AL Other 51091244 BCBS
AL Other E26656 UPIN
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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