Provider Demographics
NPI:1881679199
Name:MEDDINGS MOBILE RADIOGRAPHS
Entity Type:Organization
Organization Name:MEDDINGS MOBILE RADIOGRAPHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDDINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-354-1088
Mailing Address - Street 1:127 SUMMERS LN
Mailing Address - Street 2:
Mailing Address - City:KEVIL
Mailing Address - State:KY
Mailing Address - Zip Code:42053-8873
Mailing Address - Country:US
Mailing Address - Phone:270-442-9519
Mailing Address - Fax:270-442-9506
Practice Address - Street 1:127 SUMMERS LN
Practice Address - Street 2:
Practice Address - City:KEVIL
Practice Address - State:KY
Practice Address - Zip Code:42053-8873
Practice Address - Country:US
Practice Address - Phone:270-442-9519
Practice Address - Fax:270-442-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00221162OtherMEDICARE RAILROAD
KY7001802Medicare ID - Type UnspecifiedMEDICARE #
KYP00221162OtherMEDICARE RAILROAD