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UNIVERSITY PHYSICIANS GROUP - RADIOLOGY NPI 1619061116


NPI Information

NPI: 1619061116
Provider Name: UNIVERSITY PHYSICIANS GROUP - RADIOLOGY
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 18D0648480

Address:
530 SOUTH JACKSON STREET
RADIOLOGY CLINIC
LOUISVILLE, KY
ZIP 40202
Phone: (502) 562-6069
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UNIVERSITY PHYSICIANS GROUP - RADIOLOGY is a diagnostic radiology radiology in Louisville, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UNIVERSITY PHYSICIANS GROUP - RADIOLOGY NPI is 1619061116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

530 SOUTH JACKSON STREET
RADIOLOGY CLINIC
LOUISVILLE, KY
ZIP 40202
Phone: (502) 562-6069

The provider's authorized official is Belinda Love .
The authorized official title is Director and has the following contact phone number (502) 562-5765.

The CLIA number assigned to this NPI record is 18D0648480 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165905887MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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