Paducah Magnetic Resonance Imaging

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PADUCAH MAGNETIC RESONANCE IMAGING

Practice address

125 Medical Center Dr
Paducah, KY 42003-7910

Phone

(270) 444-0303

Fax

(270) 443-6582

NPI assigned

Jan 27, 2006

Last updated

May 8, 2012By 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

Robert Garneau, MD

Title

President

Phone

(270) 554-0877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1710958897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010078",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037910",
            "telephone_number": "270-444-0303",
            "fax_number": "270-443-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADUCAH MAGNETIC RESONANCE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "GARNEAU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-554-0877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86010733",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paducah Middle School Clinic
• Paducah Neurosurgical Associates, PSC
• Paducah Operating Company LLC (River Haven Nursing and Rehabilitation Center)
• Paducah Ophthalmology ASC LLC (The Eye Surgery Center of Paducah)
• Paducah Pediatric Dentistry PSC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Paducah, KY
• Providers in Paducah, KY by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.