Organization
VALLEY IMAGING CONSULTANTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C. MAKI D.O. (OWNER/PRESIDENT)
(304) 645-4043
Entity
Organization
Contact information
Practice address
202 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 645-4043
(304) 645-4713
Mailing address
PO BOX 671, LEWISBURG, WV 24901-0671
(304) 645-4043
(304) 645-4713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710520
BCBS
WV
01
—
010034200
FEDERAL BLACK LUNG
—
05
—
0205803000
—
WV
01
—
288546
UNITED HEALTHCARE/MAMSI
WV
01
—
CJ3590
RAILROAD MEDICARE
WV
Enumeration date
05/12/2006
Last updated
11/14/2008
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