Log Mountain Diagnostics

LBN: Maggies Enterprises Llc
Log Mountain Diagnostics is an health care organization with primary practice located at 102 Mountain View Cmns , Pineville KY 40977-8708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Maggies Enterprises Llc can be contacted via phone (606) 269-7146, or through Sams, Chanda B via phone (606) 269-7146.

Contact Information

Primary practice address
102 Mountain View Cmns Pineville KY 40977-8708
Phone: (606) 269-7146
Fax: (606) 337-8839
Website:
Map and Directions
Authorized official contact:
Name: Sams, Chanda B
Phone: (606) 269-7146

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 142920 Kentucky

Profile Details

NPI number 1457480832
LBN Legal business name Maggies Enterprises Llc
DBA Doing business as Log Mountain Diagnostics
Authorized official Sams, Chanda B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2007
Last updated Sep 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457480832 NPPES
Kentucky MEDICAID 7100016810

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