Pro Imaging Dianostics, LLC

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

501001 Issued in WV

Legal business name

PRO IMAGING DIANOSTICS, LLC

Practice address

4600 Route 152
Suite a
Lavalette, WV 25535-9702

Phone

(304) 522-7000

Fax

(304) 522-7662

NPI assigned

May 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Curtis Nichols, CNMT

Title

Director

Phone

(304) 522-7000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1083871891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-522-7000",
            "fax_number": "304-522-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ROUTE 152",
            "address_2": "SUITE A",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359702",
            "telephone_number": "304-522-7000",
            "fax_number": "304-522-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO IMAGING DIANOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-522-7000",
        "authorized_official_credential": "CNMT"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "WV",
            "license": "501001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiography Radiologic Technologist in Lavalette, WV
• Providers in Lavalette, WV by specialty
• Radiography Radiologic Technologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.