South Central Radiology Pllc

LBN: South Central Radiology Pllc
South Central Radiology Pllc is an health care organization with primary practice located at 145 Newcomb Ave , Mount Vernon KY 40456-2733. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. South Central Radiology Pllc can be contacted via phone (606) 256-2195, or through Gomez, Eduardo R via phone (606) 677-9438.

Contact Information

Primary practice address
145 Newcomb Ave Mount Vernon KY 40456-2733
Phone: (606) 256-2195
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Eduardo R Doctor of Medicine (MD)
Phone: (606) 677-9438

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1841335643
LBN Legal business name South Central Radiology Pllc
DBA Doing business as
Authorized official Gomez, Eduardo R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jun 30th, 2016 - about 8 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 1841335643 NPPES
Kentucky MEDICAID 65942880

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