Vivid Diagnostic

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

VIVID DIAGNOSTIC

Practice address

132 Grand Vue PLZ
Unit 6
Hazard, KY 41701-6842

Phone

(606) 436-0440

NPI assigned

Sep 18, 2007

Last updated

Sep 18, 2007By 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

Mr. Brian Scott ColemanNPI 1770779373

Title

Owner

Phone

(606) 436-0440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Scott Coleman

  • Other Specialist/Technologist
  • Hazard, KY
  • NPI 1770779373

  Specialist/Technologist, Other

  NPD (past) Authorized official

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1780870378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020276",
            "telephone_number": "606-436-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 GRAND VUE PLZ",
            "address_2": "UNIT 6",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417016842",
            "telephone_number": "606-436-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-436-0440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snehamala Veeravalli, MD
• Antionett Vermillion
• Virginia Vicini
• Praveen Kumar Vikraman, MD
• Ziaullah Virk, MD
• Michael William Vories, MD
• Lisa Combs Wade
• Amber Wagers, APRN
• Hana Wahab, MD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1247)

• Other Specialist/Technologist in Hazard, KY
• Providers in Hazard, KY by specialty
• Other Specialist/Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.