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Organization
DIAGNOSTIC RADIOLOGY SYSTEMS INC
Active
Organization
DIAGNOSTIC RADIOLOGY SYSTEMS INC
Active
Other names
KENTUCKY METABOLIC IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE MANOR (PRESIDENT)
(859) 231-7644
Entity
Organization
Contact information
Practice address
3475 RICHMOND RD, SUITE 150, LEXINGTON, KY 40509-2500
(859) 275-2100
(859) 223-3274
Mailing address
3475 RICHMOND RD, SUITE 150, LEXINGTON, KY 40509-2500
(859) 275-2100
(859) 223-3274
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
720250
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167041
CHA PIN
KY
01
—
1600375
UHC PIN
KY
05
—
1700831559
—
KY
01
—
5864584
AETNA PIN
KY
01
—
630001664
RAILROAD MEDICARE PIN
KY
Enumeration date
05/23/2006
Last updated
06/23/2008
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