OrganizationActive
Somerset Outpatient Diagnostic Center
NPI 1205858099 · Mammography Radiologic Technologist · Somerset, KY
Provider details
- NPI number
- 1205858099
- Entity type
- Organization
- Primary specialty
- Mammography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Mitchell, Office Manager(606) 678-4114
- License
- FDA #169292 (KY)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
600 Bogle St
Suite 3
Somerset, KY 42503-2885
Phone: (606) 678-4114
Fax: (606) 679-5862
Approximate (ZIP-level) locationGet directions
Mailing address
600 Bogle St
Somerset, KY 42503-2885
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.