MAGGIES ENTERPRISES LLC NPI 1457480832

NPI Information

NPI: 1457480832
Provider Name: MAGGIES ENTERPRISES LLC

Doing Business As: LOG MOUNTAIN DIAGNOSTICS

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
102 MOUNTAIN VIEW CMNS
PINEVILLE, KY
ZIP 40977
Phone: (606) 269-7146
Get Directions

MAGGIES ENTERPRISES LLC is a radiology clinic center in Pineville, KY. MAGGIES ENTERPRISES LLC NPI is 1457480832. The provider is registered as an organization entity type.
The provider Is Doing Business As Log Mountain Diagnostics.

The provider's business location address is:

102 MOUNTAIN VIEW CMNS
PINEVILLE, KY
ZIP 40977-708
Phone: (606) 269-7146
Fax: (606) 337-8839

The provider's authorized official is Chanda B Sams .
The authorized official title is Owner and has the following contact phone number (606) 269-7146.

The enumeration date for this NPI number is 3/3/2007 and was last updated on 9/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	142920	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100016810	MEDICAID	KENTUCKY
2	00459	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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