Active NPI
Comprehensive MRI Center LLC
- Diagnostic Radiology Physician
- Barbourville, KY
National Provider Identifier
1639410418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 39706
- Legal business name
- COMPREHENSIVE MRI CENTER LLC
- Practice address
- 215 Treuhaft Blvd
Ste 3
Barbourville, KY 40906-7361 - Phone
- (706) 271-0055
- Fax
- (706) 270-0487
- NPI assigned
- Mar 5, 2013
- Last updated
- Oct 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Ellis, MD
- Title
- Owner
- Phone
- (706) 271-0055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 39706 | KY | Primary |
Addresses
Primary practice location
215 Treuhaft Blvd
Ste 3
Barbourville, KY 40906-7361
Mailing address
215 Treuhaft Blvd
Ste 3
Barbourville, KY 40906-7361
Phone (706) 271-0055
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1639410418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 TREUHAFT BLVD",
"address_2": "STE 3",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067361",
"telephone_number": "706-271-0055",
"fax_number": "706-270-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TREUHAFT BLVD",
"address_2": "STE 3",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067361",
"telephone_number": "706-271-0055",
"fax_number": "706-270-0487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE MRI CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-05",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-271-0055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "39706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.