SOMERSET OUTPATIENT DIAGNOSTIC CENTER (NPI# 1205858099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205858099 |
| Entity Type | Organization |
| Organization Name | SOMERSET OUTPATIENT DIAGNOSTIC CENTER |
| Practice Address |
600 Bogle St Suite 3 Somerset KY 42503-2885 |
| Practice Telephone | 6066784114 |
| Practice Fax Number | 6066795862 |
| Mailing Telephone | 6066784114 |
| Mailing Fax Number | 6066795862 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LISA ANN MITCHELL (OFFICE MANAGER) |
| Authorized Official Telephone | 6066784114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
FDA #169292 | KY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64785512 | 05 |
| Street Address |
600 BOGLE ST SUITE 3 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245202811 | Stephen Shain Kiteck | Family Medicine | 600 Bogle St, Somerset, KY 42503 | 2006-02-07 |
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|---|---|---|---|---|
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| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 2471M2300X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598968265 | Suzanne Ruth Cox | Radiologic Technologist | 7807 Lariat Road, Louisville, KY 40219 | 2007-06-08 |
Please comment or provide details below to improve the information on SOMERSET OUTPATIENT DIAGNOSTIC CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.