Eastside P.e.t. Center, LLC
NPI 1619925070 · Diagnostic Radiology Physician · Birmingham, AL
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastside P.e.t. Center, LLC is a Diagnostic Radiology Physician organization in Birmingham, AL (NPI 1619925070).
Provider details
- NPI number
- 1619925070
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Wells, Vice-President(205) 221-8258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Uab St. Vincent'S East P.e.t. Center
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Eastside P.e.t. Center, LLC's NPI number?
- Eastside P.e.t. Center, LLC's National Provider Identifier (NPI) is 1619925070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside P.e.t. Center, LLC?
- Eastside P.e.t. Center, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Eastside P.e.t. Center, LLC located?
- Eastside P.e.t. Center, LLC's practice location on file with NPPES is 46 Medical Park Dr E, Birmingham, AL 35235-3401.
- What is Eastside P.e.t. Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastside P.e.t. Center, LLC is (205) 838-3738.
- Does Eastside P.e.t. Center, LLC accept Medicare?
- Eastside P.e.t. Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastside P.e.t. Center, LLC?
- The authorized official listed on Eastside P.e.t. Center, LLC's NPPES record is Lisa Wells, Vice-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside P.e.t. Center, LLC's NPI active?
- Yes — Eastside P.e.t. Center, LLC's NPI (1619925070) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.