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HAZARD ARH IMAGING CENTER LLC NPI 1629306220


NPI Information

NPI: 1629306220
Provider Name: HAZARD ARH IMAGING CENTER LLC

Doing Business As: MEDICAL MALL IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 18D2000821

Address:
210 BLACK GOLD BLVD
STE 109
HAZARD, KY
ZIP 41701
Phone: (606) 487-7320
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HAZARD ARH IMAGING CENTER LLC is a diagnostic radiology radiology in Hazard, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. HAZARD ARH IMAGING CENTER LLC NPI is 1629306220. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Mall Imaging Center.

The provider's business location address is:

210 BLACK GOLD BLVD
STE 109
HAZARD, KY
ZIP 41701
Phone: (606) 487-7320

The provider's authorized official is Ashok Patel .
The authorized official title is Vice President and has the following contact phone number (606) 439-5057.

The CLIA number assigned to this NPI record is 18D2000821 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2009 and was last updated on 12/22/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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: 4/28/2024

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