# LIFESCAN IMAGING, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780687798
- **Authorized official:** MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
- **Authorized official phone:** (502) 403-1401

## Contact information

- **Practice address:** 607 CLIFTY ST, STE 102, SOMERSET, KY 42503-1765
- **Practice address phone:** (606) 677-6664
- **Practice address fax:** (606) 677-6560
- **Mailing address:** 607 CLIFTY ST, STE 102, SOMERSET, KY 42503-1765
- **Mailing address phone:** (606) 677-6664
- **Mailing address fax:** (606) 677-6560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 01/27/2010