NPI 1205858099

Somerset Outpatient Diagnostic Center

Organisation Mammography Radiologic Technologist Somerset, KY

Practice location

Address: 600 Bogle St Suite 3, Somerset, KY 42503-2885
Phone: (606) 678-4114
Fax: (606) 679-5862

Authorised official

Name: Lisa Ann Mitchell
Title: Office Manager
Phone: (606) 678-4114

Registered specialties

Mammography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M2300X Licence FDA #169292 (KY)

Other Radiologic Technologist providers in Kentucky →

Registry record

NPI: 1205858099
Entity type: Organization
NPI issued: 24 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.