# DIAGNOSTIC RADIOLOGY OF LONDON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Imaging and Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245376243
- **Authorized official:** DR. ERIC D JOHNSON MD (RADIOLOGIST)
- **Authorized official phone:** (606) 864-2221

## Contact information

- **Practice address:** 1455 E HWY 90 BY-PASS UNIT \#4, MONTICELLO, KY 42633
- **Practice address phone:** (606) 340-0009
- **Mailing address:** 202 W 7TH ST, LONDON, KY 40741-1763
- **Mailing address phone:** (606) 864-2221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 33556 | KY | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 33556 | LICENCE | KY |
| 05 | — | 64353568 | — | KY |