Provider Demographics
NPI:1902859937
Name:VESTAVIA HILLS IMAGING CENTER
Entity Type:Organization
Organization Name:VESTAVIA HILLS IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-459-3220
Mailing Address - Street 1:2017 CANYON RD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1903
Mailing Address - Country:US
Mailing Address - Phone:205-824-8262
Mailing Address - Fax:205-824-8264
Practice Address - Street 1:2017 CANYON RD
Practice Address - Street 2:SUITE 25
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1903
Practice Address - Country:US
Practice Address - Phone:205-824-8262
Practice Address - Fax:205-824-8264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology