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MOUNTAINEER RADIOLOGISTS INC NPI 1154320869


NPI Information

NPI: 1154320869
Provider Name: MOUNTAINEER RADIOLOGISTS INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1306 KANAWHA BLVD E
BUILDING 2
CHARLESTON, WV
ZIP 25301
Phone: (304) 951-1588
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MOUNTAINEER RADIOLOGISTS INC is a diagnostic radiology radiology in Charleston, WV. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MOUNTAINEER RADIOLOGISTS INC NPI is 1154320869. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1306 KANAWHA BLVD E
BUILDING 2
CHARLESTON, WV
ZIP 25301-000
Phone: (304) 951-1588

The provider's authorized official is Thomas Zekan .
The authorized official title is President and has the following contact phone number (304) 951-1588.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 7/16/2015.


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

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11154320869MEDICAIDVIRGINIA
23810006507MEDICAIDWEST VIRGINIA
3001711957OTHERWEST VIRGINIABCBS
43810006508MEDICAIDWEST VIRGINIA
51154320869MEDICARE PINVIRGINIA
63810002431MEDICAIDWEST VIRGINIA

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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