ADVANCED IMAGING OF ALABAMA LLC
NPI 1629221510
Radiology - Diagnostic Radiology in Anniston, AL

NPI Status: Active since October 23, 2008

Contact Information

1699 GOLDEN SPRINGS RD
ANNISTON, AL
ZIP 36207
Phone: (256) 835-0835
Fax: (256) 549-0401

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 01D1079462
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-30-2026

About ADVANCED IMAGING OF ALABAMA LLC

This page provides the complete NPI Profile along with additional information for Advanced Imaging Of Alabama Llc, a provider established in Anniston, Alabama operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1629221510 assigned on October 2008. The practitioner's primary taxonomy code is 2085R0202X with license number 17729 (AL). The provider is registered as an organization and their NPI record was last updated 13 years ago. Advanced Imaging Of Alabama Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Kennon H Hager Md (Owner/physician)

NPI
1629221510
Provider Name
ADVANCED IMAGING OF ALABAMA LLC
Entity Type
Organization
Location Address
1699 GOLDEN SPRINGS RD ANNISTON, AL 36207
Location Phone
(256) 835-0835
Location Fax
(256) 549-0401
Mailing Address
820 SOUTH 4TH STREET GADSDEN, AL 35901
Mailing Phone
(256) 549-0008
Mailing Fax
(256) 549-0401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2008
Last Update Date
09-26-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
17729
License State
AL
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENNON H HAGER MD

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(256) 549-0008

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E66362MEDICARE UPIN (02)AL 
510-49315OTHER (01)ALBC/BS OF AL
113978MEDICAID (05)AL 
102I302249MEDICARE PIN (08)AL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D1079462
Facility Type
Physician Office
Certificate Effective Date
January 31, 2024
Certificate Expiration Date
January 30, 2026
Laboratory Director
KENNON H. HAGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advanced Imaging Of Alabama Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629221510
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264942252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 4 + 2 + 2 + 5 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1629221510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1295741866 TIMOTHY BRET TABOR M.D.
Individual
Radiology (Diagnostic Radiology)1699 GOLDEN SPRINGS RD
ANNISTON, AL 36207
(256) 835-0835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629221510, enumerated in the NPI registry as an "organization" on October 23, 2008

The provider is located at 1699 Golden Springs Rd Anniston, Al 36207 and the phone number is (256) 835-0835

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 01D1079462 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 23, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.