MEDICARE: HARDIN COUNTY IMAGING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085B0100X	Body Imaging Physician
2	2085U0001X	Diagnostic Ultrasound Physician
3	2085N0904X	Nuclear Radiology Physician
4	2085R0202X	Diagnostic Radiology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA7639	OTHER	KY	RAILROAD MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235155821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARDIN COUNTY IMAGING, LLC

Provider Business Mailing Address
First Line	:	120 E ADAMS ST
Second Line	:	STE 4
City	:	LAGRANGE
State	:	KY
Zip	:	40031-1278
Country	:	US
Telephone Number	:	502-222-3281
Fax Number	:	502-225-5796

Provider Business Practice Location Address
First Line	:	1107 WOODLAND DR
Second Line	:	STE 102
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-2789
Country	:	US
Telephone Number	:	270-769-6665
Fax Number	:	270-769-0322

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANNICE O AARON
Credential	:	M.D.
Telephone Number	:	502-222-3281

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	01/17/2008

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Directions to “HARDIN COUNTY IMAGING, LLC ” Practice Location

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