MEDICAL MALL IMAGING CENTER
NPI 1285938274
Clinical Medical Laboratory in Hazard, KY

Active since January 05, 2011CLIA 18D2000821 · Waiver
210 BLACK GOLD BLVD, STE 109, HAZARD, KY 41701(606) 436-0737(606) 487-0219 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Mall Imaging Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL MALL IMAGING CENTER (NPI 1285938274) is a healthcare organization registered as a clinical medical laboratory in Hazard, Kentucky and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Ashok Patel, Vice President, as its authorized official.

NPPES Registry Identity

NPI1285938274
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameHAZARD ARH IMAGING CENTER LLC
Location Address210 BLACK GOLD BLVD, STE 109Hazard, KY 41701-2620
Mailing Address210 Black Gold Blvd, Ste 109Hazard, KY 41701-2620 · (606) 436-0737 · Fax (606) 487-0219
Fax(606) 487-0219
Organization SubpartNo
Authorized OfficialAshok PatelVice President · (606) 439-5057
Enumeration DateJanuary 5, 2011
NPI 1285938274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in KY · 18D2000821
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
210 BLACK GOLD BLVD, Hazard, KY 41701

Other Names 1

Doing Business AsMedical Mall Imaging Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2000821

Hazard Arh Imaging Center LLC Dba Medical Mall Imaging Center · Hazard, KY
Active · expires Dec 6, 2027
CLIA Number18D2000821
Laboratory TypeImaging Center
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorKenny Hicks
Laboratory Phone(606) 439-5057
Laboratory LocationHazard Arh Imaging Center LLC Dba Medical Mall Imaging Center210 Black Gold Boulevard Suite 101, Hazard, KY 41701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
210 BLACK GOLD BLVD, STE 107
HAZARD, KY 41701
Nurse Practitioner (Family)
210 BLACK GOLD BLVD, STE 106
HAZARD, KY 41701
Nurse Practitioner
210 BLACK GOLD BLVD
HAZARD, KY 41701
Psychologist (Clinical)
210 BLACK GOLD BLVD, ARH BARIATRIC SERVICES, SUITE 102
HAZARD, KY 41701
Family Medicine
210 BLACK GOLD BLVD
HAZARD, KY 41701
Nurse Practitioner
210 BLACK GOLD BLVD, SUITE 106
HAZARD, KY 41701
Pharmacy (Community/Retail Pharmacy)
210 BLACK GOLD BLVD, SUITE 104
HAZARD, KY 41701
Nurse Practitioner (Family)
210 BLACK GOLD BLVD, STE 106
HAZARD, KY 41701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazard Arh Imaging Center LLC's NPI number?

The NPI number for Hazard Arh Imaging Center LLC is 1285938274. It was assigned to this organization in the NPPES registry on January 5, 2011. The provider is doing business as Medical Mall Imaging Center.

Where is Hazard Arh Imaging Center LLC located?

Hazard Arh Imaging Center LLC is located at 210 Black Gold Blvd Ste 109, Hazard, KY 41701. The listed phone number is (606) 436-0737.

What is Hazard Arh Imaging Center LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Hazard Arh Imaging Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2000821) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hazard Arh Imaging Center LLC was last updated on January 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.