Provider Demographics
NPI:1659315992
Name:CB IMAGING PLLC
Entity Type:Organization
Organization Name:CB IMAGING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:859-275-2100
Mailing Address - Street 1:2425 REGENCY RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2948
Mailing Address - Country:US
Mailing Address - Phone:859-275-2100
Mailing Address - Fax:859-275-1159
Practice Address - Street 1:2425 REGENCY RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2948
Practice Address - Country:US
Practice Address - Phone:859-275-2100
Practice Address - Fax:859-275-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty