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DIAGNOSTIC X-RAY PHYSICIANS PSC NPI 1619954138


NPI Information

NPI: 1619954138
Provider Name: DIAGNOSTIC X-RAY PHYSICIANS, PSC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217
Phone: (502) 447-8786
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DIAGNOSTIC X-RAY PHYSICIANS, PSC is a diagnostic radiology radiology in Louisville, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIAGNOSTIC X-RAY PHYSICIANS, PSC NPI is 1619954138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217-318
Phone: (502) 447-8786
Fax: (502) 447-8623

The provider's authorized official is Daren D. Repishti .
The authorized official title is President and has the following contact phone number (502) 447-8786.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 9/21/2023.


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
12085R0204XRadiologyVascular & Interventional RadiologyNo
2208VP0014XPain MedicineInterventional Pain MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
52085R0202XRadiologyDiagnostic RadiologyYes

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
1CC0216OTHERKENTUCKYRAILROAD MEDICARE
265919011MEDICAIDKENTUCKY
3100010390MEDICAIDINDIANA

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

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