# TACKETT-HOLSCHUH RADIOLOGY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mingo-Pike Radiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053782482
- **Authorized official:** MR. DONALD R TACKETT JR. (OWNER/PRESIDENT)
- **Authorized official phone:** (606) 237-6300

## Contact information

- **Practice address:** 411 CENTRAL AVENUE, SUITE 1, SOUTH WILLIAMSON, KY 41503
- **Practice address phone:** (606) 237-6300
- **Practice address fax:** (606) 237-7444
- **Mailing address:** 411 CENTRAL AVENUE, SUITE 1, SOUTH WILLIAMSON, KY 41503
- **Mailing address phone:** (606) 237-6300
- **Mailing address fax:** (606) 237-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | NULL | — |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 247100000X | Radiologic Technologist | — | NULL | — |
| 247100000X | Radiologic Technologist | — | — | — |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | NULL | — |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | — | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | NULL | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | — | — |
| 2471M2300X | Mammography Radiologic Technologist | — | NULL | — |
| 2471M2300X | Mammography Radiologic Technologist | — | — | — |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 10/12/2015