Organization
DOWNTOWN RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LULA M. BAKER MANAGER (OFFICE MANAGER)
(606) 248-3171
Entity
Organization
Contact information
Practice address
123 N. 19TH ST., 123 N. 19TH ST., MIDDLESBORO, KY 40965-4623
(606) 248-3171
(606) 248-3206
Mailing address
123 N 19TH ST, MIDDLESBORO, KY 40965-2865
(606) 248-3171
(606) 248-3206
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
730019
KY
2471M2300X
Mammography Radiologic Technologist
Primary
269570
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000073139
B/C B/SHIELD OF KY #
KY
01
—
000816234002
UNITED HEALTHCARE
KY
01
—
1403954
UMWA INS
KY
01
—
292804
BLACK LUNG PROGRAM
KY
01
—
7144
CHA INSURANCE
KY
05
—
86010071
—
KY
01
—
885
CHA INSURANCE
KY
Enumeration date
06/28/2006
Last updated
09/11/2025
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