MOUNTAINEER IMAGING CENTER NPI 1275753576

NPI Information

MOUNTAINEER IMAGING CENTER 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 IMAGING CENTER NPI is 1275753576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 R H L BLVD
CHARLESTON, WV
ZIP 25309-278
Phone: (304) 720-9729

The provider's authorized official is George Wilson .
The authorized official title is Partner and has the following contact phone number (304) 720-9729.

The CLIA number assigned to this NPI record is 51D1038837 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/27/2007 and was last updated on 8/22/2020.

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:

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