Provider Demographics
NPI:1366000622
Name:6RADIOLOGY
Entity Type:Organization
Organization Name:6RADIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUDKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-337-0072
Mailing Address - Street 1:11266 PARLEYS CONE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1839
Mailing Address - Country:US
Mailing Address - Phone:573-337-0072
Mailing Address - Fax:
Practice Address - Street 1:11266 PARLEYS CONE CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-1839
Practice Address - Country:US
Practice Address - Phone:573-337-0072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty