SOMERSET OUTPATIENT DIAGNOSTIC CENTER – NPI #1205858099
Radiologic Technologist

A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care.

SOMERSET OUTPATIENT DIAGNOSTIC CENTER is a radiologic technologist located in SOMERSET, KY. NPPES has assigned the NPI number 1205858099 to SOMERSET OUTPATIENT DIAGNOSTIC CENTER on July 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2471M2300X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Mammography Radiologic Technologist

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 SOMERSET OUTPATIENT DIAGNOSTIC CENTER below.

NPI Profile for
SOMERSET OUTPATIENT DIAGNOSTIC CENTER

NPI Number
1205858099
Enumeration Date

(about 20 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
SOMERSET OUTPATIENT DIAGNOSTIC CENTER
Primary location
600 BOGLE ST
SUITE 3
SOMERSET, KY 42503-2885
Phone: (606) 678-4114 Fax: (606) 679-5862
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA MITCHELL
OFFICE MANAGER
Phone: (606) 678-4114
Updated
Identifiers

Identifiers for SOMERSET OUTPATIENT DIAGNOSTIC CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY64785512
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
2471M2300X
- Radiologic Technologist / Mammography Radiologic Technologist (Primary)
KY FDA #169292

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.