THE PET CENTER OF OXFORD, LLC NPI 1588693972

Clinic/Center (Radiology) in Oxford, AL

NPI 1588693972 Organization Clinic/Center Radiology

About THE PET CENTER OF OXFORD, LLC

The Pet Center Of Oxford, Llc is a provider established in Oxford, Alabama specializing in clinic/center (radiology) . The NPI number of The Pet Center Of Oxford, Llc is 1588693972 and was assigned on June 2006. The practitioner's primary taxonomy code is 261QR0200X with license number 001535 (AL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Robert Eichelberger M.d. (Radiologist)

NPI

1588693972

Provider NameTHE PET CENTER OF OXFORD, LLC
Provider Location Address1612 US HIGHWAY 78 W SUITE 102 OXFORD, AL 36203
Provider Mailing Address1612 HWY 78 E SUITE 102 OXFORD, AL 36203
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-30-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QR0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology
License No.001535
License StateAL

Business Address

THE PET CENTER OF OXFORD, LLC
1612 US HIGHWAY 78 W
SUITE 102
OXFORD, AL
ZIP 36203
Phone: (256) 832-3550

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Mailing Address

THE PET CENTER OF OXFORD, LLC
1612 HWY 78 E
SUITE 102
OXFORD, AL
ZIP 36203
Phone: (256) 832-3550



Authorized Official

Authorized Official Name ROBERT EICHELBERGER M.D.
Authorized Official TitleRADIOLOGIST
Authorized Official Phone(256) 832-3550

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801102959DR. RENITA GAIL BROWN MD
Individual
Family Medicine1612 US HIGHWAY 78 W SUITE 100
OXFORD, AL 36203
(256) 835-4756

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.