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EASTSIDE P.E.T. CENTER, LLC
NPI 1619925070
Radiology - Diagnostic Radiology in Birmingham, AL

Active since May 05, 2006
46 MEDICAL PARK DR E, STE 224, BIRMINGHAM, AL 35235(205) 838-3738(205) 838-6738 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2025, Feb 11, 2021, Nov 12, 2019 (3 updates tracked since 2019).

About Eastside P.e.t. Center, Llc NPPES

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

EASTSIDE P.E.T. CENTER, LLC (NPI 1619925070), doing business as Uab St. Vincent's East P.e.t. Center, is a healthcare organization registered as a diagnostic radiology in Birmingham, Alabama and active in the NPI registry since May 2006. The organization lists Lisa J. Wells, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1619925070
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameEASTSIDE P.E.T. CENTER, LLC
Location Address46 MEDICAL PARK DR E, STE 224Birmingham, AL 35235-3401
Mailing Address406 Medical Center DrJasper, AL 35501-3400 · (205) 221-8200 · Fax (205) 221-8270
Phone(205) 838-3738
Fax(205) 838-6738
Organization SubpartNo
Authorized OfficialLisa J. WellsVice-president · (205) 221-8258
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1619925070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
46 MEDICAL PARK DR E, Birmingham, AL 35235
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Other Names 1

Doing Business AsUab St. Vincent's East P.e.t. Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside P.e.t. Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastside P.E.T. Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Hines, M.D.
Diagnostic Radiology
NPI 1396900197
840 MONTCLAIR RD SUITE 317
Birmingham, AL 35213
(205) 592-5135
✔ PECOS✔ Accepts Medicare7.4 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 Eastside P.E.T. Center, LLC's NPI number?

The NPI number for Eastside P.E.T. Center, LLC is 1619925070. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as UAB St. Vincent's East P.E.T. Center.

Where is Eastside P.E.T. Center, LLC located?

Eastside P.E.T. Center, LLC is located at 46 Medical Park Dr E Ste 224, Birmingham, AL 35235. The listed phone number is (205) 838-3738.

What is Eastside P.E.T. Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Eastside P.E.T. Center, LLC enrolled in Medicare?

Yes. Eastside P.E.T. Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastside P.E.T. Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Eastside P.E.T. Center, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eastside P.E.T. Center, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Eastside P.E.T. Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastside P.E.T. Center, LLC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.