Organization
DIAGNOSTIC RADIOLOGY OF LONDON
Active
Other names
Advanced Imaging and Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D JOHNSON MD (RADIOLOGIST)
(606) 864-2221
Entity
Organization
Contact information
Practice address
1455 E HWY 90 BY-PASS UNIT #4, MONTICELLO, KY 42633
(606) 340-0009
Mailing address
202 W 7TH ST, LONDON, KY 40741-1763
(606) 864-2221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33556
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33556
LICENCE
KY
05
—
64353568
—
KY
Enumeration date
01/29/2007
Last updated
06/25/2008
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