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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