EBO MRI LLC NPI 1205080082

NPI Information

  • NPI: 1205080082
  • Provider Name: EBO MRI, LLC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Address: 13151 MAGISTERIAL DR
    LOUISVILLE, KY
    ZIP 40223
  • Phone: (502) 587-1236

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NPI Details

EBO MRI, LLC is a magnetic resonance imaging (mri) clinic center in Louisville, KY. EBO MRI, LLC NPI is 1205080082. The provider is registered as an organization entity type.

The provider's business location address is:

13151 MAGISTERIAL DR
LOUISVILLE, KY
ZIP 40223-103
Phone: (502) 587-1236
Fax: (502) 587-0318

The provider's authorized official is Sharon Grasch .
The authorized official title is Business Manager and has the following contact phone number (502) 587-9581.

The enumeration date for this NPI number is 11/6/2008 and was last updated on 6/21/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERKENTUCKYTAX ID

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: 3/30/2025

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