FAMILY MEDICAL IMAGING, LLC (NPI# 1972744522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972744522 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL IMAGING, LLC |
| Practice Address |
25 Mallard Ct Beckley WV 25801 |
| Mailing Address |
25 Mallard Ct Beckley WV 25801-3664 |
| Practice Telephone | 3042552527 |
| Practice Fax Number | 3042555675 |
| Mailing Telephone | 3042552527 |
| Mailing Fax Number | 3042555675 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | DR. GARY POLING (MEMBER) |
| Authorized Official Telephone | 3042552527 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
1002-2421 | WV | Ambulatory Health Care Facilities |
| Street Address |
25 MALLARD CT |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912328 | Michael D Mcmillion | Physician Assistant | 25 Mallard Ct, Beckley, WV 25801-3664 | 2005-06-15 |
| 1457950248 | Megan Marie O'neal | Social Worker | 25 Mallard Ct, Beckley, WV 25801-3664 | 2020-10-22 |
| 1003093212 | Gary L. Poling, D.o. | Family Medicine | 25 Mallard Ct, Beckley, WV 25801-3664 | 2008-01-30 |
| 1487730941 | Gary L. Poling | Family Medicine | 25 Mallard Ct, Beckley, WV 25801-3664 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1972871358 | Fmrs Health Systems Inc | Clinic/Center | 101 S Eisenhower Dr, Beckley, WV 25801-4929 | 2011-12-13 |
| 1225272214 | New River Health Association, Inc. | Clinic/Center | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2009-04-22 |
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| 1306178165 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2010-02-04 |
| 1558696641 | Lab Collection Specialists, LLC | Clinic/Center | 1505 Grand Central Ave Ste 9, Vienna, WV 26105-1074 | 2009-10-07 |
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| 1952416265 | Huntington Pediatric Clinic Inc | Clinic/Center | 1448 10th Ave Ste 313, Huntington, WV 25701-3554 | 2006-08-20 |
| 1750916011 | Arvessa Skin Care Center LLC | Clinic/Center | 710 Somerset Blvd Ste 103, Charles Town, WV 25414-4998 | 2020-03-06 |
| 1093345894 | Beyond Limits Mobile Outpatient Therapy, LLC | Clinic/Center | 41 Baltusrol Dr, Charles Town, WV 25414-3884 | 2020-01-21 |
| 1851793582 | White Hall Pharmacy, LLC | Clinic/Center | 177 Middletown Rd Ste 2, Fairmont, WV 26554-8254 | 2014-09-25 |
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| 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.