Organization
MOBILE IMAGES OF KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK MERCHANT (CEO)
(423) 667-4691
Entity
Organization
Contact information
Practice address
517 N MAPLE ST, WINCHESTER, KY 40391-1475
(800) 232-5756
(888) 405-0653
Mailing address
517 N MAPLE ST, WINCHESTER, KY 40391-1475
(800) 232-5756
(888) 405-0653
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
K193520
KY
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K193520
—
KY
Enumeration date
09/09/2015
Last updated
04/20/2018
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