Organization
DIAGNOSTIC IMAGING SHELBYVILLE, LLC
Active
Other names
Medical Imaging Shelbyville
Organization subpart
No
Provider details
NPI number
Authorized official
JANNICE O AARON M.D. (PRESIDENT)
(502) 222-3281
Entity
Organization
Contact information
Practice address
101 STONECREST RD, STE 2, SHELBYVILLE, KY 40065
(502) 647-0311
(502) 647-6011
Mailing address
120 E ADAMS ST, STE 4, LAGRANGE, KY 40031-1278
(502) 222-3281
(502) 225-5796
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50013025
—
KY
05
—
50013026
—
KY
05
—
50013027
—
KY
05
—
50013029
—
KY
05
—
50013647
—
KY
05
—
50013806
—
KY
05
—
7100001970
—
KY
Enumeration date
07/22/2006
Last updated
10/31/2007
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