Provider Demographics
NPI:1972763829
Name:FRANKFORT MRI ASSOCIATES, LLC
Entity type:Organization
Organization Name:FRANKFORT MRI ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-418-5775
Mailing Address - Street 1:175 MEDICAL HEIGHTS DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-6520
Mailing Address - Country:US
Mailing Address - Phone:502-418-5775
Mailing Address - Fax:502-875-5350
Practice Address - Street 1:1006 LEAWOOD DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3349
Practice Address - Country:US
Practice Address - Phone:502-418-5775
Practice Address - Fax:502-875-5350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKFORT MRI ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-13
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY9377601Medicare PIN