TRI-STATE RADIOLOGY PSC NPI 1700823275

NPI Information

NPI: 1700823275
Provider Name: TRI-STATE RADIOLOGY, PSC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2201 LEXINGTON AVE
KINGS DAUGHTER MEDICAL CENTER
ASHLAND, KY
ZIP 41101
Phone: (606) 833-5741
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TRI-STATE RADIOLOGY, PSC is a diagnostic radiology radiology in Ashland, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TRI-STATE RADIOLOGY, PSC NPI is 1700823275. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2201 LEXINGTON AVE
KINGS DAUGHTER MEDICAL CENTER
ASHLAND, KY
ZIP 41101-843
Phone: (606) 833-5741
Fax: (859) 223-2732

The provider's authorized official is Candy Boykin .
The authorized official title is Group President and has the following contact phone number (606) 327-4633.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 11/15/2007.

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	2085R0202X	Radiology	Diagnostic Radiology			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	65927279	MEDICAID	KENTUCKY
2	DA3936	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: 4/28/2024

NPI Synchronization or Removal

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