HAZARD ARH IMAGING CENTER LLC (NPI# 1285938274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285938274 |
| Entity Type | Organization |
| Organization Name | HAZARD ARH IMAGING CENTER LLC |
| Other Organization Name | MEDICAL MALL IMAGING CENTER |
| Practice Address |
210 Black Gold Blvd Ste 109 Hazard KY 41701-2620 |
| Practice Telephone | 6064360737 |
| Practice Fax Number | 6064870219 |
| Mailing Telephone | 6064360737 |
| Mailing Fax Number | 6064870219 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | ASHOK PATEL (VICE PRESIDENT) |
| Authorized Official Telephone | 6064395057 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 18D2000821 | KY | Laboratories |
| Other Name | Type Code |
|---|---|
| Medical Mall Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629306220 | Hazard Arh Imaging Center LLC | Radiology | 210 Black Gold Blvd, Ste 109, Hazard, KY 41701 | 2009-11-20 |
| Street Address |
210 BLACK GOLD BLVD STE 109 |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484216 | Darian Ratliff | Internal Medicine | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2005-08-15 |
| 1326593575 | Kelli Jones | Pharmacist | 210 Black Gold Blvd, Suite 104, Hazard, KY 41701-2620 | 2016-08-17 |
| 1922478676 | Justin Barnes | Physical Therapist | 210 Black Gold Blvd, Hazard, KY 41701-2620 | 2015-10-06 |
| 1215306600 | Ashlei Beverly | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-09-16 |
| 1891178851 | Jacqueline Combs | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-07-08 |
| 1730578121 | Jacqueline Allen | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-01-22 |
| 1215331160 | Ashley A Taylor | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-10-21 |
| 1134520901 | Kristi Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-09-11 |
| 1942617667 | Sue Carol Riddle | Nurse Practitioner | 210 Black Gold Blvd, Hazard, KY 41701-2620 | 2014-07-15 |
| 1083038210 | Steven Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-02-07 |
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|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
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| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1447278494 | Ace Clinique of Medicine | Clinical Medical Laboratory | 181 Roy Campbell Drive, Hazard, KY 41701-0000 | 2006-07-18 |
| 1083688428 | Appalachian Regional Healthcare Inc | Clinical Medical Laboratory | 103 Medical Center Dr, Hazard, KY 41701-9421 | 2006-02-14 |
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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.