Provider Demographics
NPI:1164790861
Name:VUEPOINT DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:VUEPOINT DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:EMANUELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-612-1572
Mailing Address - Street 1:PO BOX 774
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35902-0774
Mailing Address - Country:US
Mailing Address - Phone:256-456-5870
Mailing Address - Fax:256-217-4753
Practice Address - Street 1:4268 CAHABA HEIGHTS CT
Practice Address - Street 2:SUITE 102
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5711
Practice Address - Country:US
Practice Address - Phone:256-456-5870
Practice Address - Fax:256-217-4753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL335V00000X, 335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier