Organization
DIAGNOSTIC RADIOLOGY SYSTEMS INC
Active
Other names
KENTUCKY METABOLIC IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE MANOR (PRESIDENT)
(859) 231-7644
Entity
Organization
Contact information
Practice address
3475 RICHMOND RD, SUITE 150, LEXINGTON, KY 40509-2500
(859) 275-2100
(859) 223-3274
Mailing address
3475 RICHMOND RD, SUITE 150, LEXINGTON, KY 40509-2500
(859) 275-2100
(859) 223-3274
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
720250
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167041
CHA PIN
KY
01
—
1600375
UHC PIN
KY
05
—
1700831559
—
KY
01
—
5864584
AETNA PIN
KY
01
—
630001664
RAILROAD MEDICARE PIN
KY
Enumeration date
05/23/2006
Last updated
06/23/2008
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