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LEXINGTON RADIATION THERAPY CENTER P.S.C. NPI 1255426334


NPI Information

NPI: 1255426334
Provider Name: LEXINGTON RADIATION THERAPY CENTER, P.S.C.
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

CLIA Number: 18D0664431

Address:
1401 HARRODSBURG RD
SUITE A-100
LEXINGTON, KY
ZIP 40504
Phone: (859) 258-6505
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LEXINGTON RADIATION THERAPY CENTER, P.S.C. is an oncology and radiation clinic center in Lexington, KY. LEXINGTON RADIATION THERAPY CENTER, P.S.C. NPI is 1255426334. The provider is registered as an organization entity type.

The provider's business location address is:

1401 HARRODSBURG RD
SUITE A-100
LEXINGTON, KY
ZIP 40504-751
Phone: (859) 258-6505
Fax: (859) 258-6509

The provider's authorized official is Kenny Kraik .
The authorized official title is Chief Financial Officer and has the following contact phone number (859) 258-4101.

The CLIA number assigned to this NPI record is 18D0664431 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/1/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0203XClinic/CenterOncology, RadiationYes

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
10980MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
265912404MEDICAIDKENTUCKY
33695MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
4CA5414OTHERKENTUCKYRR MEDICARE NUMBER
58512MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

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: 11/14/2023

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