Organization Active NPI

Comprehensive MRI Center LLC

  • Diagnostic Radiology Physician
  • Barbourville, KY
National Provider Identifier
1639410418
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39706 Issued in KY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.