Provider Demographics
NPI:1902931215
Name:ADVANCED MEDICAL INTERPRETATIONS
Entity Type:Organization
Organization Name:ADVANCED MEDICAL INTERPRETATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:GODDARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-621-5780
Mailing Address - Street 1:2050 OAK MOUNTAIN DR
Mailing Address - Street 2:STE 7
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1300
Mailing Address - Country:US
Mailing Address - Phone:205-621-5780
Mailing Address - Fax:205-621-9780
Practice Address - Street 1:2050 OAK MOUNTAIN DR
Practice Address - Street 2:STE 7
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1300
Practice Address - Country:US
Practice Address - Phone:205-621-5780
Practice Address - Fax:205-621-9780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL200132085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty