Lauderdale Radiology Group
Radiologic Technologist in Florence, AL(View on Map)
Legal Business Name
Lauderdale Radiology Group
NPI Number
1073605762
NPI Type
Organization
Enumeration Date
09/29/2006
Specialties
(Taxonomies)Licenses
State
Alabama
Alabama
Alabama
Alabama
Alabama
License Number
00006072
D0137
00023957
00016553
MD.26676
Contact
Information
Purpose
Mailing
Location
Address
201 S COURT STREET
1701 VETERANS DRIVE
City
Florence
Florence
State
AL
AL
Postal Code
35630
35630
Country
US
US
Telephone Number
(256) 768-8168
(256) 768-8168
Authorized Official
Name
Dr. Paul Vonherrmann
Title or Position
RADIOLOGIST
Telephone Number
(256) 768-8168
Identifiers
Identifier
51519728
009934433
51540375
51039506
009934439
528202620
009934437
51039286
009934434
Unknown
Unknown
Identifier State
AL
AL
AL
AL
AL
AL
AL
AL
AL
Unknown
Unknown
Identifier Issuer
BC
Unknown
BC
BC
Unknown
Unknown
Unknown
BC
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/02/2019