Organization
PINEVILLE RADIOLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANKAR LAKSHMAN M.D. (OWNER)
(276) 523-7943
Entity
Organization
Contact information
Practice address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(276) 523-7938
(276) 523-7028
Mailing address
PO BOX 890332, CHARLOTTE, NC 28289-0332
(276) 523-7938
(276) 523-7028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4404666
—
TN
05
—
65925133
—
KY
Enumeration date
09/28/2006
Last updated
09/30/2009
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