Provider Demographics
NPI:1396714259
Name:LONDON IMAGING, PLLC
Entity type:Organization
Organization Name:LONDON IMAGING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SATYABRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-864-4040
Mailing Address - Street 1:1210 W 5TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-2112
Mailing Address - Country:US
Mailing Address - Phone:606-862-1411
Mailing Address - Fax:606-862-1401
Practice Address - Street 1:1210 W 5TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-2112
Practice Address - Country:US
Practice Address - Phone:606-862-1411
Practice Address - Fax:606-862-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center