Organization
BANFIELD DIAGNOSTIC IMAGING, LLC
Active
Other names
Banfield Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY J BANFIELD R.T.(R) (OWNER/CEO)
(606) 545-8154
Entity
Organization
Contact information
Practice address
17 AMBER DR, CORBIN, KY 40701-9406
(606) 545-8154
Mailing address
17 AMBER DR, CORBIN, KY 40701-9406
(606) 545-8154
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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