MIDWEST RADIOLOGY KENTUCKY LLC NPI 1336289107

NPI Information

NPI: 1336289107
Provider Name: MIDWEST RADIOLOGY KENTUCKY LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
4500 BOWLING BLVD STE 100
LOUISVILLE, KY
ZIP 40207
Phone: (317) 595-6040
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MIDWEST RADIOLOGY KENTUCKY LLC is a radiology and mobile clinic center in Louisville, KY. MIDWEST RADIOLOGY KENTUCKY LLC NPI is 1336289107. The provider is registered as an organization entity type.

The provider's business location address is:

4500 BOWLING BLVD STE 100
LOUISVILLE, KY
ZIP 40207-147
Phone: (317) 595-6040
Fax: (317) 595-6050

The provider's authorized official is Steven Ganote .
The authorized official title is Operations Manager and has the following contact phone number (317) 557-6165.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 2/19/2008.

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	261QR0208X	Clinic/Center	Radiology, Mobile	720176	KENTUCKY	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	86000395	MEDICAID	KENTUCKY
2	7003001	MEDICARE PIN	KENTUCKY
3	P00089265	OTHER	KENTUCKY	RAILROAD MEDICARE

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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