Organization
PRO IMAGING DIANOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS NICHOLS CNMT (DIRECTOR)
(304) 522-7000
Entity
Organization
Contact information
Practice address
4600 ROUTE 152, SUITE A, LAVALETTE, WV 25535-9702
(304) 522-7000
(304) 522-7662
Mailing address
2547 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 522-7000
(304) 522-7662
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
501001
WV
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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