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NPI Code Detail

MEDICARE: PULASKI RADIOLOGISTS LLC

MEDICARE: PULASKI RADIOLOGISTS LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DD6591OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487643557
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULASKI RADIOLOGISTS LLC
Provider Business Mailing Address
First Line : 2400 LEE HWY N
Second Line :
City : PULASKI
State : VA
Zip : 24301-2326
Country : US
Telephone Number : 540-994-8301
Fax Number : 540-994-8333
Provider Business Practice Location Address
First Line : 2400 LEE HWY N
Second Line :
City : PULASKI
State : VA
Zip : 24301-2326
Country : US
Telephone Number : 540-994-8301
Fax Number : 540-994-8333
Authorized Official
Title or Position : VP
Name : MR. KENNETH WASHINGTON
Credential :
Telephone Number : 703-650-2907
Provider Enumeration Date : 10/20/2005
Last Update Date : 08/30/2007

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Practice Fax:
1295738839 — ALAN FRANKLIN KNULL MD
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1669466405 — DR. BIRGIT ARB MD
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1295726974 — ROBERT SPRINGER CRNA
Practice Location Address:
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24301-2326
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1033182845 — DR. KARANITA MARY OJOMO M.D.
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1992750947 — ERIN H DOVE M.D.
Practice Location Address:
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Directions to “PULASKI RADIOLOGISTS LLC ” Practice Location

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