Organization

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)

Code

247100000X

Primary Taxonomy

Yes

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

Provider Address