Organization
NORTHEAST KENTUCKY IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE R DEGIORGIO MD (PRESIDENT)
(866) 286-5888
Entity
Organization
Contact information
Practice address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-2273
Mailing address
PO BOX M, RUSSELL, KY 41169-0510
(866) 286-5888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000063419
BCBS
KY
05
—
0202995000
—
WV
05
—
0524696
—
OH
05
—
2610777
—
OH
05
—
2610786
—
OH
05
—
2610802
—
OH
05
—
2610811
—
OH
05
—
2610820
—
OH
05
—
2610839
—
OH
05
—
2610857
—
OH
05
—
3810004299
—
WV
05
—
3810004300
—
WV
05
—
3810004320
—
WV
05
—
3810004321
—
WV
05
—
3810004338
—
WV
05
—
3810004361
—
WV
05
—
3810004362
—
WV
05
—
65908204
—
KY
Enumeration date
10/28/2005
Last updated
07/24/2008
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