Eastside P.E.T. Center, LLC
NPI 1619925070ActiveOrganization· Radiology, Diagnostic Radiology· Birmingham, AL
Radiology, Diagnostic Radiology in Birmingham, Alabama, registered in NPPES in May 2006. The authorized official on file is Lisa J. Wells, CPCO, Vice-President. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1619925070 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Jun 30, 2025 |
| Certified by provider | Jun 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (AL) |
|---|
Other Radiology, Diagnostic Radiology providers in Birmingham
- 1801092028
- 1134056542
- 1285375733
- 1033199179
- 1346782307
- 1376594192
- 1982882270
- 1952477689
- 1104654284
- 1912911538
- 1922058528
- 1093537474