Organization
PADUCAH MAGNETIC RESONANCE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GARNEAU MD (PRESIDENT)
(270) 554-0877
Entity
Organization
Contact information
Practice address
125 MEDICAL CENTER DR, PADUCAH, KY 42003-7910
(270) 444-0303
(270) 443-6582
Mailing address
PO BOX 78, EVANSVILLE, IN 47701-0078
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86010733
—
KY
Enumeration date
01/27/2006
Last updated
05/08/2012
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