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
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