# BANFIELD DIAGNOSTIC IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Banfield Diagnostic Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194310144
- **Authorized official:** JEFFERY J BANFIELD R.T.(R) (OWNER/CEO)
- **Authorized official phone:** (606) 545-8154

## Contact information

- **Practice address:** 17 AMBER DR, CORBIN, KY 40701-9406
- **Practice address phone:** (606) 545-8154
- **Mailing address:** 17 AMBER DR, CORBIN, KY 40701-9406
- **Mailing address phone:** (606) 545-8154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 03/02/2021