Hazard Arh Imaging Center LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

18D2000821 Issued in KY

Legal business name

HAZARD ARH IMAGING CENTER LLC

Doing business as

Medical Mall Imaging Center

Practice address

210 Black Gold Blvd
Ste 109
Hazard, KY 41701-2620

Phone

(606) 436-0737

Fax

(606) 487-0219

NPI assigned

Jan 5, 2011

Last updated

Jan 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashok Patel, M.D.NPI 1851339691

Title

Vice President

Phone

(606) 439-5057

Specialties & licenses 1

Addresses

Other names 1

• Medical Mall Imaging Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashok Patel, M.D.

  • Diagnostic Radiology Physician
  • Hazard, KY
  • NPI 1851339691
  Authorized official Same address or phone

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1285938274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD",
            "address_2": "STE 109",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0737",
            "fax_number": "606-487-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD",
            "address_2": "STE 109",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0737",
            "fax_number": "606-487-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZARD ARH IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "606-439-5057",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "18D2000821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Mall Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter Christian Harvey, HIS
• Hassan H Ghazal MD (Kentucky Cancer Clinic)
• Wendy Hatton, LPCC
• Gentry Hayes
• Kathryn Dixon Haynes, D.M.D.
• Hazard Arh Imaging Center LLC (Medical Mall Imaging Center)
• Hazard Arh Regional Medical Center
• Hazard Family Medical Clinic
• Hazard Ind. Schools
• Hazard Internal Medicine, P.S.C

• Clinical Medical Laboratory in Hazard, KY
• Providers in Hazard, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.