| Name: | Nuclear Cardiovascular Imaging Centers, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 03 Mar 1993 (32 years ago) |
| Entity Number: | 000-916-131 |
| Register Number: | 000916131 |
| County: | Lauderdale |
| Place of Formation: | Tennessee |
| Principal Address: | 401 WEST COLLEGE ST STE CFLORENCE, AL 35630 |
| Principal Address ZIP Code: | 35630 |
| Registered Office Street Address: | 522 HIGHLAND CIRCLEFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1639251754 | 2006-10-19 | 2020-08-22 | PO BOX 298, FLORENCE, AL, 356310298, US | 401 W COLLEGE ST, FLORENCE, AL, 356305511, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-767-7494 |
| Fax | 2567608432 |
| Phone | +1 256-767-3871 |
| Fax | 2567673808 |
Authorized person
| Name | SUSAN N HALL |
| Role | CFO |
| Phone | 2567677494 |
Taxonomy
| Taxonomy Code | 207U00000X - Nuclear Medicine Physician |
| License Number | 1184 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | 1184 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| License Number | 11917 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51051059NUC |
| State | AL |
| Issuer | BCBS |
| Number | 51051062NUC |
| State | AL |
| Issuer | BCBS |
| Number | 51051064NUC |
| State | AL |
| Issuer | BCBS |
| Number | 51051065NUC |
| State | AL |
| Name | Role |
|---|---|
| HALL, SUSAN N | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
