IMAGESOUTH PET/CT – NPI #1598294688
Clinic/Center

IMAGESOUTH PET/CT is an AHC clinic located in HOMEWOOD, AL. NPPES has assigned the NPI number 1598294688 to IMAGESOUTH PET/CT on June 12, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IMAGESOUTH PET/CT” is a dba name, the actual legal business name for this organization is MONTCLAIR ROAD IMAGING, LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 9 years ago on Jul 21, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMAGESOUTH PET/CT below.

NPI Profile for
MONTCLAIR ROAD IMAGING, LLC

NPI Number
1598294688
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTCLAIR ROAD IMAGING, LLC
Doing Business As (dba): IMAGESOUTH PET/CT
Other name(s)
All associated names:
Doing Business As (dba)
ImageSouth Diagnostics
Doing Business As (dba)
ImageSouth PET/CT
Primary location
1 INDEPENDENCE PLZ STE 140
HOMEWOOD, AL 35209-2629
Phone: (205) 870-1979 Fax: (205) 870-1929
Mailing address
PO BOX 931108
ATLANTA, GA 31193-1108
Phone: (205) 870-1979 Fax: (205) 870-1929
Organization Subpart
Yes - IMAGESOUTH PET/CT is subpart of another organization.
Authorized Official
JOSEPH PAUL
PRESIDENT
Phone: (706) 256-3450
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.