BLUEGRASS REGIONAL IMAGING LLC NPI 1871542670

NPI Information

BLUEGRASS REGIONAL IMAGING LLC is a diagnostic radiology radiology in Lexington, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BLUEGRASS REGIONAL IMAGING LLC NPI is 1871542670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 BOB O LINK DR
SUITE 245
LEXINGTON, KY
ZIP 40504-761
Phone: (859) 276-2157
Fax: (859) 276-4938

The provider's authorized official is Jon K Kostelic .
The authorized official title is Member and has the following contact phone number (859) 219-0542.

The CLIA number assigned to this NPI record is 18D1088626 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 3/5/2014.

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:

Other Identifiers

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