=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972763829
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKFORT MRI ASSOCIATES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2008
-----------------------------------------------------
Last Update Date | 07/11/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1006 LEAWOOD DR SUITE 100
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40601-3349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-418-5775
-----------------------------------------------------
Fax | 502-875-5350
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 175 MEDICAL HEIGHTS DR SUITE F
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40601-6520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-418-5775
-----------------------------------------------------
Fax | 502-875-5350
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | MRS. JULIE HOWARD THOMAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 502-418-5775
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QS1200X
-----------------------------------------------------
Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------