LAUDERDALE RADIOLOGY GROUP LLP – NPI #1073605762
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

LAUDERDALE RADIOLOGY GROUP LLP is a radiologic technologist located in FLORENCE, AL. NPPES has assigned the NPI number 1073605762 to LAUDERDALE RADIOLOGY GROUP LLP on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

The NPI profile was last updated on Apr 01, 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 LAUDERDALE RADIOLOGY GROUP LLP below.

NPI Profile for
LAUDERDALE RADIOLOGY GROUP LLP

NPI Number
1073605762
Enumeration Date

(more than 19 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
LAUDERDALE RADIOLOGY GROUP LLP
Primary location
1701 VETERANS DRIVE
FLORENCE, AL 35630
Phone: (256) 768-8168 Fax: (256) 768-8322
Mailing address
PO BOX 678063
DALLAS, TX 75267-8063
Phone: (256) 768-8168 Fax: (256) 768-8322
Organization Subpart
No
Authorized Official
PAUL VONHERRMANN
RADIOLOGIST
Phone: (256) 768-8168
Updated
Certification Date
Apr 01, 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.

Identifiers

Identifiers for LAUDERDALE RADIOLOGY GROUP LLP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCAL51039286
otherBCAL51519728
otherBCAL51039506
otherBCAL51507878
otherBCAL51540375
otherBC EAST BILYEUAL51543162
medicaidAL009934433
medicaidAL528202620
medicaidAL009934434
medicaidAL009934437
medicaidAL009934439
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
247100000X
- Radiologic Technologist (Primary)
AL 00006072

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.