LUNDBERG MEDICAL IMAGING PSC NPI 1336229947

NPI Information

NPI: 1336229947
Provider Name: LUNDBERG MEDICAL IMAGING PSC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2421 BROADWAY ST
PADUCAH, KY
ZIP 42001
Phone: (270) 442-8272
Get Directions

LUNDBERG MEDICAL IMAGING PSC is a diagnostic radiology radiology in Paducah, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LUNDBERG MEDICAL IMAGING PSC NPI is 1336229947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2421 BROADWAY ST
PADUCAH, KY
ZIP 42001-115
Phone: (270) 442-8272
Fax: (270) 444-0539

The provider's authorized official is Gershom Lundberg .
The authorized official title is Owner and has the following contact phone number (270) 442-8272.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/26/2015.

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
1	2085R0202X	Radiology	Diagnostic Radiology			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	2398	OTHER		MEDICARE PTIN
2	150821	OTHER	KENTUCKY	FDA #
3	150821	OTHER		FDA NUMBER
4	4932	OTHER	KENTUCKY	BCBS
5	7100152590	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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