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Dothan Diagnostic Imaging Radiology PLLC

Details

Name: Dothan Diagnostic Imaging Radiology PLLC
Jurisdiction: Alabama
Legal type: Foreign Professional Limited Liability Company
Status: Exists
Date of registration: 02 Mar 2015 (10 years ago)
Entity Number: 000-376-034
Register Number: 000376034
County: Tuscaloosa
Place of Formation: Florida
Registered Office Street Address: 2728 6TH STREETTUSCALOOSA, AL 34501
Principal Address: 2728 6TH STREETTUSCALOOSA, AL 35401
Principal Address ZIP Code: 35401

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528445145 2015-05-04 2019-01-25 217 GRACELAND DR STE 4, DOTHAN, AL, 363057376, US 217 GRACELAND DR STE 4, DOTHAN, AL, 363057376, US

Contacts

Phone +1 334-792-1525

Authorized person

Name DR. ROSS W. BARNETT
Role OWNER
Phone 3347921525

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Agent

Name Role Address
RAMEY, BENTON B Agent 2728 6TH STREETTUSCALOOSA, AL 35401

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State