EASTSIDE P.E.T. CENTER, LLC – NPI #1649855545
Clinic/Center

EASTSIDE P.E.T. CENTER, LLC is an AHC clinic located in HOOVER, AL. NPPES has assigned the NPI number 1649855545 to EASTSIDE P.E.T. CENTER, LLC on March 11, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Sleep Disorder Diagnostic

The NPI profile was last updated on Jun 30, 2025. 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 EASTSIDE P.E.T. CENTER, LLC below.

NPI Profile for
EASTSIDE P.E.T. CENTER, LLC

NPI Number
1649855545
Enumeration Date

(more than 5 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
EASTSIDE P.E.T. CENTER, LLC
Primary location
7191 CAHABA VALLEY RD
BLDG 2 STE 203
HOOVER, AL 35242-6448
Phone: (205) 236-9943 Fax: (205) 236-9947
Mailing address
406 MEDICAL CENTER DR
JASPER, AL 35501-3400
Phone: (205) 221-8200 Fax: (205) 221-8270
Organization Subpart
No
Authorized Official
LISA WELLS
VICE-PRESIDENT
Phone: (205) 221-8258
Updated
Certification Date
Jun 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic (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.