Organization
MAGGIES ENTERPRISES LLC
Active
Other names
LOG MOUNTAIN DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDA B SAMS (OWNER)
(606) 269-7146
Entity
Organization
Contact information
Practice address
102 MOUNTAIN VIEW CMNS, PINEVILLE, KY 40977-8708
(606) 269-7146
(606) 337-8839
Mailing address
PO BOX 475, PINEVILLE, KY 40977-0475
(606) 269-7146
(606) 337-8839
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
142920
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100016810
—
KY
Enumeration date
03/03/2007
Last updated
09/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us