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NPI Profile for DIAGNOSTIC IMAGING SHELBYVILLE LLC in SHELBYVILLE, KY.
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Body Imaging |
2085B0100X | |||
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Diagnostic Ultrasound |
2085U0001X | |||
Nuclear Radiology |
2085N0904X |
| NPI # | 1003837378 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/22/2006 | |
| Last updated | 10/31/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIAGNOSTIC IMAGING SHELBYVILLE, LLC