MINGO-PIKE RADIOLOGY – NPI #1053782482
Clinic/Center

MINGO-PIKE RADIOLOGY is an AHC clinic located in SOUTH WILLIAMSON, KY. NPPES has assigned the NPI number 1053782482 to MINGO-PIKE RADIOLOGY on October 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MINGO-PIKE RADIOLOGY” is a dba name, the actual legal business name for this organization is TACKETT-HOLSCHUH RADIOLOGY, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Magnetic Resonance Imaging (MRI) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINGO-PIKE RADIOLOGY below.

NPI Profile for
TACKETT-HOLSCHUH RADIOLOGY, INC

NPI Number
1053782482
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TACKETT-HOLSCHUH RADIOLOGY, INC
Doing Business As (dba): MINGO-PIKE RADIOLOGY
Primary location
411 CENTRAL AVENUE
SUITE 1
SOUTH WILLIAMSON, KY 41503
Phone: (606) 237-6300 Fax: (606) 237-7444
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONALD TACKETT
OWNER/PRESIDENT
Phone: (606) 237-6300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI) (Primary)
2471V0105X
- Radiologic Technologist / Vascular Sonography Radiologic Technologist
2471S1302X
- Radiologic Technologist / Sonography Radiologic Technologist
2471M2300X
- Radiologic Technologist / Mammography Radiologic Technologist
2471M1202X
- Radiologic Technologist / Magnetic Resonance Imaging Radiologic Technologist
2471C3401X
- Radiologic Technologist / Computed Tomography Radiologic Technologist
2471B0102X
- Radiologic Technologist / Bone Densitometry Radiologic Technologist
247100000X
- Radiologic Technologist
2085U0001X
- Radiology / Diagnostic Ultrasound
2085R0202X
- Radiology / Diagnostic Radiology
2085D0003X
- Radiology / Diagnostic Neuroimaging

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.