Diagnostic Radiology Systems Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

720250 Issued in KY

Legal business name

DIAGNOSTIC RADIOLOGY SYSTEMS INC

Doing business as

KENTUCKY METABOLIC IMAGING

Practice address

3475 Richmond Rd
Suite 150
Lexington, KY 40509-2500

Phone

(859) 275-2100

Fax

(859) 223-3274

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Manor

Title

President

Phone

(859) 231-7644

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• KENTUCKY METABOLIC IMAGING Doing business as

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1700831559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 RICHMOND RD",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092500",
            "telephone_number": "859-275-2100",
            "fax_number": "859-223-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 RICHMOND RD",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092500",
            "telephone_number": "859-275-2100",
            "fax_number": "859-223-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MANOR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-231-7644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "KY",
            "license": "720250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700831559",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "630001664",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PIN",
            "identifier": "1600375",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5864584",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA PIN",
            "identifier": "1167041",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENTUCKY METABOLIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mobile Radiology Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Mobile Radiology Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.