Mobile Images of Kentucky LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MOBILE IMAGES OF KENTUCKY LLC

Practice address

517 N Maple St
Winchester, KY 40391-1475

Phone

(800) 232-5756

Fax

(888) 405-0653

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Rick Merchant

Title

Ceo

Phone

(423) 667-4691

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1184092009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAPLE ST",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911475",
            "telephone_number": "800-232-5756",
            "fax_number": "888-405-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAPLE ST",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911475",
            "telephone_number": "800-232-5756",
            "fax_number": "888-405-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE IMAGES OF KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-667-4691"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "KY",
            "license": "K193520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K193520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Darryl Miller, DC
• Megan Tambi Miller, MPT
• Meggin Daniels Miller, DI
• Samantha Mills
• Darian Mitchell
• Crystal Mobley, LCSW
• Anand Modadugu, MD
• Aleksandr V. Mogilevski, MD
• Joan Moix, COTA/L
• Monocle, LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Winchester, KY
• Providers in Winchester, KY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.