Provider Demographics
NPI:1922058528
Name:PIN POINT RADIOLOGY MANAGEMENT, L.P.
Entity Type:Organization
Organization Name:PIN POINT RADIOLOGY MANAGEMENT, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-815-6634
Mailing Address - Street 1:PO BOX 2153
Mailing Address - Street 2:DEPT 5197
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35287-0002
Mailing Address - Country:US
Mailing Address - Phone:803-772-4300
Mailing Address - Fax:803-772-4031
Practice Address - Street 1:2850 19TH ST S
Practice Address - Street 2:SUITE 350
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2612
Practice Address - Country:US
Practice Address - Phone:205-815-6634
Practice Address - Fax:205-802-7549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO500120209Medicaid
FLQ0202OtherMEDICARE
SCAPPLYINGMedicaid
SC8489OtherMEDICARE
MO201121OtherBCBS
MO59486OtherHEALTHCARE USA
SCAPPLYINGMedicaid
MO59486OtherHEALTHCARE USA