LAUDERDALE RADIOLOGY GROUP LLP
NPI 1073605762
Radiologic Technologist in Florence, AL

Active since September 29, 2006
1701 VETERANS DRIVE, FLORENCE, AL 35630(256) 768-8168(256) 768-8322 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2025, Mar 27, 2025, Mar 13, 2025 and 1 more (4 updates tracked since 2019).

About Lauderdale Radiology Group Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUDERDALE RADIOLOGY GROUP LLP (NPI 1073605762) is a healthcare organization registered as a radiologic technologist in Florence, Alabama and active in the NPI registry since September 2006. The organization lists Paul Vonherrmann, Radiologist, as its authorized official.

NPPES Registry Identity

NPI1073605762
Entity TypeOrganization
Primary Taxonomy247100000X
Legal Business NameLAUDERDALE RADIOLOGY GROUP LLP
Location Address1701 VETERANS DRIVEFlorence, AL 35630
Mailing AddressPo Box 678063Dallas, TX 75267-8063 · (256) 768-8168 · Fax (256) 768-8322
Fax(256) 768-8322
Organization SubpartNo
Authorized OfficialPaul VonherrmannRadiologist · (256) 768-8168
Enumeration DateSeptember 29, 2006
Last NPPES UpdateApril 1, 20254 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1073605762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
Licenses✔ Licensed in AL · 00006072✔ Licensed in AL · D0137✔ Licensed in AL · 00023957✔ Licensed in AL · 00016553✔ Licensed in AL · MD.26676
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
1701 VETERANS DRIVE, Florence, AL 35630

Other Identifiers 11

Medicaid009934439AL
Other51540375AL · Bc
Medicaid009934433AL
Other51507878AL · Bc
Other51543162AL · Bc East Bilyeu
Medicaid009934434AL
Other51039286AL · Bc
Other51519728AL · Bc
Other51039506AL · Bc
Medicaid528202620AL
Medicaid009934437AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauderdale Radiology Group Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20211027002479Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Lauderdale Radiology Group LLP, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Diagnostic Radiology14
Interventional Radiology1

Clinicians, nearest first (15)

Diagnostic Radiology
NPI 1396815700
205 MARENGO ST DEPT OF RADIOLOGY
Florence, AL 35630
(256) 768-8392
✔ PECOS✔ Accepts Medicare2.2 mi
Diagnostic Radiology
NPI 1063634293
205 MARENGO ST
Florence, AL 35630
(256) 381-0400
✔ PECOS✔ Accepts Medicare2.2 mi
Diagnostic Radiology
NPI 1447252788
205 MARENGO ST
Florence, AL 35630
(256) 381-0400
✔ PECOS✔ Accepts Medicare2.2 mi
Diagnostic Radiology
NPI 1245390756
2701 MALL DR SUITE #9
Florence, AL 35630
(256) 768-1005
✔ PECOS✔ Accepts Medicare2.5 mi
Diagnostic Radiology
NPI 1730154568
201 AVALON AVE
Muscle Shoals, AL 35661
(256) 386-7100
✔ PECOS✔ Accepts Medicare4.3 mi
Diagnostic Radiology
NPI 1265590210
2006 FRANKLIN ST SE SUITE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare61 mi
Diagnostic Radiology
NPI 1043746514
619 19TH ST S
Birmingham, AL 35249
(205) 934-4011
✔ PECOS✔ Accepts Medicare101 mi
Diagnostic Radiology
NPI 1811450158
619 19TH STREET SOUT
Birmingham, AL 35249
(205) 934-7120
✔ PECOS✔ Accepts Medicare101 mi
Interventional Radiology
NPI 1336533694
2055 E SOUTH BLVD SUITE 200
Montgomery, AL 36116
(334) 284-5211
✔ PECOS✔ Accepts Medicare188 mi
Diagnostic Radiology
NPI 1881875896
2122 MANCHESTER EXPY
Columbus, GA 31904
(706) 320-2773
✔ PECOS✔ Accepts Medicare222 mi
Diagnostic Radiology
NPI 1467606012
800 ROSE ST HQ 101
Lexington, KY 40536
(859) 323-5871
✔ PECOS✔ Accepts Medicare283 mi
Diagnostic Radiology
NPI 1245799170
5246 BRITTANY DR
Baton Rouge, LA 70808
(225) 757-4080
✔ PECOS✔ Accepts Medicare364 mi
Diagnostic Radiology
NPI 1194010561
3448 US ROUTE 60
Huntington, WV 25705
(304) 522-1550
✔ PECOS✔ Accepts Medicare378 mi
Diagnostic Radiology
NPI 1922234558
2355 HWY 36 W STE. 100
Roseville, MN 55113
(651) 292-2000
✔ PECOS✔ Accepts Medicare763 mi
Diagnostic Radiology
NPI 1164591616
8535 VIA MALLORCA
La Jolla, CA 92037
(858) 457-8420
✔ PECOS✔ Accepts Medicare1,701 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauderdale Radiology Group LLP's NPI number?

The NPI number for Lauderdale Radiology Group LLP is 1073605762. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Lauderdale Radiology Group LLP located?

Lauderdale Radiology Group LLP is located at 1701 Veterans Drive, Florence, AL 35630. The listed phone number is (256) 768-8168.

What is Lauderdale Radiology Group LLP's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Is Lauderdale Radiology Group LLP enrolled in Medicare?

Yes. Lauderdale Radiology Group LLP is registered in the Medicare PECOS enrollment system.

When is Lauderdale Radiology Group LLP's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lauderdale Radiology Group LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Lauderdale Radiology Group LLP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (14) and Interventional Radiology (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lauderdale Radiology Group LLP was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.