# MOLECULAR IMAGING OF EASTERN KENTUCKY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194720185
- **Authorized official:** DR. ROBERT BROOKS DAVIS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (330) 491-1490

## Contact information

- **Practice address:** 625 JAMES S. TRIMBLE BLVD, PAINTSVILLE, KY 41240
- **Practice address phone:** (606) 920-9988
- **Practice address fax:** (606) 920-9978
- **Mailing address:** 4197 FULTON DR NW, STE C, CANTON, OH 44718-2819
- **Mailing address phone:** (330) 491-1490
- **Mailing address fax:** (330) 491-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 720243 | KY | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 08/22/2020