Organization
TACKETT-HOLSCHUH RADIOLOGY, INC
Active
Organization
TACKETT-HOLSCHUH RADIOLOGY, INC
Active
Other names
Mingo-Pike Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R TACKETT JR. (OWNER/PRESIDENT)
(606) 237-6300
Entity
Organization
Contact information
Practice address
411 CENTRAL AVENUE, SUITE 1, SOUTH WILLIAMSON, KY 41503
(606) 237-6300
(606) 237-7444
Mailing address
411 CENTRAL AVENUE, SUITE 1, SOUTH WILLIAMSON, KY 41503
(606) 237-6300
(606) 237-7444
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
247100000X
Radiologic Technologist
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up