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Organization

ADVANCED IMAGING ASSOCIATES PSC

Active
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Organization

ADVANCED IMAGING ASSOCIATES PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLLEN BOND MD (PRESIDENT)
(606) 789-3511
Entity
Organization

Contact information

Practice address
625 JAMES TRIMBLE BLVD, PAINTSVILLE, KY 41240-1055
(606) 789-3511
Mailing address
PO BOX 633638, CINCINNATI, OH 45263-3638
(866) 287-0542

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000244294
BC/BS GROUP PIN NUMBER
KY
05
65938193
KY
01
DA2906
RAILROAD MEDICARE
Enumeration date
07/08/2005
Last updated
03/15/2012
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