BLUEGRASS MOBILE XRAY INC NPI 1891975272

NPI Information

  • NPI: 1891975272
  • Provider Name: BLUEGRASS MOBILE XRAY INC
  • Classification: Radiologic Technologist - 247100000X
  • Entity Type: Organization
  • Address: 546 HUNTERS GLN
    MADISONVILLE, KY
    ZIP 42431
  • Phone: (270) 824-9630

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NPI Details

BLUEGRASS MOBILE XRAY INC is a radiologic technologist in Madisonville, KY. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. BLUEGRASS MOBILE XRAY INC NPI is 1891975272. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

546 HUNTERS GLN
MADISONVILLE, KY
ZIP 42431-688
Phone: (270) 824-9630

The provider's authorized official is Bryan Borders .
The authorized official title is President and has the following contact phone number (270) 824-9630.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247100000XRadiologic TechnologistKENTUCKYYes

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
186054012MEDICAIDKENTUCKY
27002001MEDICARE PINKENTUCKY

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: 11/21/2025

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