Organization
MEDICAL IMAGING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WHITED (CHIEF FINANCIAL OFFICER)
(606) 335-1317
Entity
Organization
Contact information
Practice address
120 SCOTT PERRY DR, PAINTSVILLE, KY 41240-9000
(606) 789-3815
(606) 789-4815
Mailing address
120 SCOTT PERRY DR, PAINTSVILLE, KY 41240-9000
(606) 789-3815
(606) 789-4815
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942682
—
KY
Enumeration date
05/21/2007
Last updated
08/22/2020
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