Organization
HAZARD ARH IMAGING CENTER LLC
Active
Other names
Medical Mall Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHOK PATEL (VICE PRESIDENT)
(606) 439-5057
Entity
Organization
Contact information
Practice address
210 BLACK GOLD BLVD, STE 109, HAZARD, KY 41701
(606) 487-7320
Mailing address
210 BLACK GOLD BLVD, STE 109, HAZARD, KY 41701
(606) 487-7320
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
12/22/2009
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