Organization
CENTRAL PHYSICIANS IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT TUSSEY (BUSINESS MANAGER)
(859) 260-7037
Entity
Organization
Contact information
Practice address
100 SOUTHLAND DR, SUITE B, LEXINGTON, KY 40503-1927
(859) 260-7025
Mailing address
PO BOX 910964, LEXINGTON, KY 40591-0964
(859) 260-7025
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
730092
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86000478
—
KY
Enumeration date
04/18/2007
Last updated
08/22/2020
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