Active NPI
The Imaging Center of London LLC
- Diagnostic Radiology Physician
- London, KY
National Provider Identifier
1710924840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- THE IMAGING CENTER OF LONDON LLC
- Practice address
- 148 London Mountain View Dr
Suite 1
London, KY 40741-6617 - Phone
- (606) 877-2840
- Fax
- (606) 877-2845
- NPI assigned
- May 31, 2006
- 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
- William M Baker, MD
- Title
- President
- Phone
- (606) 878-2450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
148 London Mountain View Dr
Suite 1
London, KY 40741-6617
Mailing address
PO Box 52790
Knoxville, TN 37950-2790
Phone (865) 766-8897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65944415 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Somerset, KY
- NPI 1457347114
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1750413506
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1790904951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330560000000",
"number": "1710924840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52790",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379502790",
"telephone_number": "865-766-8897",
"fax_number": "865-766-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 LONDON MOUNTAIN VIEW DR",
"address_2": "SUITE 1",
"city": "LONDON",
"state": "KY",
"postal_code": "407416617",
"telephone_number": "606-877-2840",
"fax_number": "606-877-2845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE IMAGING CENTER OF LONDON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2012-03-01",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-878-2450",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65944415",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.