Organization
VIVID DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SCOTT COLEMAN (OWNER)
(606) 436-0440
Entity
Organization
Contact information
Practice address
132 GRAND VUE PLZ, UNIT 6, HAZARD, KY 41701-6842
(606) 436-0440
Mailing address
PO BOX 276, HAZARD, KY 41702-0276
(606) 436-0440
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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