Organization
MEDICAL IMAGING CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL COOGAN (CHIEF EXECUTIVE OFFICER)
(502) 897-3214
Entity
Organization
Contact information
Practice address
450 EXECUTIVE PARK, LOUISVILLE, KY 40207-4204
(502) 897-3214
(502) 897-7685
Mailing address
PO BOX 950153, LOUISVILLE, KY 40295-0153
(502) 753-0680
(502) 753-0687
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65901159
—
KY
Enumeration date
06/10/2005
Last updated
07/21/2022
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