Organization
HAZARD ARH IMAGING CENTER LLC
Active
Other names
Medical Mall Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK PATEL M.D. (VICE PRESIDENT)
(606) 439-5057
Entity
Organization
Contact information
Practice address
210 BLACK GOLD BLVD, STE 109, HAZARD, KY 41701-2620
(606) 436-0737
(606) 487-0219
Mailing address
210 BLACK GOLD BLVD, STE 109, HAZARD, KY 41701-2620
(606) 436-0737
(606) 487-0219
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
18D2000821
KY
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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