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DIAGNOSTIC MEDICAL IMAGING ASSOCIATES PSC. NPI 1679535702


NPI Information

NPI: 1679535702
Provider Name: DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC.

Doing Business As: DMIA

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3900 DUPONT SQ S
SUITE B
LOUISVILLE, KY
ZIP 40207
Phone: (502) 584-0128
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DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC. is a radiology clinic center in Louisville, KY. DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC. NPI is 1679535702. The provider is registered as an organization entity type.
The provider Is Doing Business As Dmia.

The provider's business location address is:

3900 DUPONT SQ S
SUITE B
LOUISVILLE, KY
ZIP 40207-615
Phone: (502) 584-0128
Fax: (502) 584-0149

The provider's authorized official is Jeri P. Irwin .
The authorized official title is President and has the following contact phone number (502) 584-0128.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 10/19/2007.


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
1261QR0200XClinic/CenterRadiologyYes

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
165914947MEDICAIDKENTUCKY
20657MEDICARE PINKENTUCKY
3CC2698OTHERKENTUCKYRAILROAD 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

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