Organization Name: | IMAGING SERVICES |
NPI Number: | 1033235163 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY FUQUA (MEDICAL DIRECTOR) |
Mailing Address: | 1001 Leawood Dr Suite A Frankfort |
State: | KY US |
Postal Code: | 406013375 |
Phone Number: | 5028750872 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 29659 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |