National Provider Identifier Database

SOMERSET OUTPATIENT DIAGNOSTIC CENTER
Mammography Radiologic Technologist

A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

SOMERSET OUTPATIENT DIAGNOSTIC CENTER
600 BOGLE ST
SUITE 3
SOMERSET, KY42503-2885
Phone: 606-678-4114
Fax: 606-679-5862
Website:
Specialty Taxonomy Code
* Mammography Radiologic Technologist 2471M2300X

* Indicates primary specialty

NPI Profile & details for SOMERSET OUTPATIENT DIAGNOSTIC CENTER

NPI Number 1205858099
Legal business name
LBN
SOMERSET OUTPATIENT DIAGNOSTIC CENTER
Authorized official LISA MITCHELL - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: FDA #169292
  • KY Medicaid: 64785512

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.

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