Organization
PREMIER IMAGING AND INTERVENTION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK YOUNIS MD (PRESIDENT)
(304) 372-2731
Entity
Organization
Contact information
Practice address
122 PINNELL ST # 720, RIPLEY, WV 25271-9101
(866) 871-7843
(614) 764-9147
Mailing address
PO BOX 11795, L-2543, CHARLESTON, WV 25339-1795
(866) 871-7843
(614) 764-9147
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000289222
BCBS
KY
01
—
001707565
BCBS
WV
05
—
001906613
—
WV
05
—
0207230000
—
WV
05
—
2649683
—
OH
05
—
2694777
—
OH
05
—
3810002570
—
WV
05
—
3810003604
—
WV
05
—
3810007221
—
WV
05
—
65939639
—
KY
01
—
DA1021
RAILROAD MEDICARE
WV
01
—
DA1551
RAILROAD MEDICARE
KY
Enumeration date
07/20/2005
Last updated
08/26/2014
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