Organization Active NPI

Central Kentucky Comprehensive Imaging and Diagnostic Services LLC

  • Radiologic Technologist
  • Pikeville, KY
National Provider Identifier
1124092721
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
CENTRAL KENTUCKY COMPREHENSIVE IMAGING AND DIAGNOSTIC SERVICES LLC
Practice address
225 Church St
Pikeville, KY 41501-3217
Phone
(606) 437-2200
Fax
(606) 437-2450
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Ashok Patel, M.D.
Title
President
Phone
(606) 437-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

225 Church St
Pikeville, KY 41501-3217

Mailing address

PO Box 697
Hazard, KY 41702-0697
Phone (606) 439-2662

Other identifiers 1

IdentifierTypeStateIssuer
65941221MedicaidKY

Other names 1

  • Contemporary Medical Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

255 Church St
Ste 206
Pikeville, KY 41501
Phone (606) 437-2200

225 Church St
Pikeville, KY 41501
Phone (606) 437-2200

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1124092721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020697",
            "telephone_number": "606-439-2662",
            "fax_number": "606-439-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CHURCH ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013217",
            "telephone_number": "606-437-2200",
            "fax_number": "606-437-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY COMPREHENSIVE IMAGING AND DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-437-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941221",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contemporary Medical Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.