National Provider Identifier Database

LIFESCAN IMAGING LLC
Radiology


Contact Information

LIFESCAN IMAGING, LLC
607 CLIFTY ST
STE 102
SOMERSET, KY42503-1765
Phone: 606-677-6664
Fax: 606-677-6560
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for LIFESCAN IMAGING, LLC

NPI Number 1780687798
Legal business name
LBN
LIFESCAN IMAGING, LLC
Authorized official MICHELLE DOUGLAS - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/23/2005
Last updated 01/27/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 65940322
  • KY Medicaid: 7100090800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LIFESCAN IMAGING, LLC

There are currently no reviews for LIFESCAN IMAGING, LLC


NPIdb - Home
v2.201