PROFESSIONAL PARK DIAGNOSTICS PLLC NPI 1902403264

NPI Information

  • NPI: 1902403264
  • Provider Name: PROFESSIONAL PARK DIAGNOSTICS PLLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: PROFESSIONAL PARK DIAGNOSTICS PLLC, , RADIOLOGY
  • Address: 3346 PROFESSIONAL PARK
    SUITE A
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 228-0405

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NPI Details

PROFESSIONAL PARK DIAGNOSTICS PLLC is a radiology clinic center in Owensboro, KY. PROFESSIONAL PARK DIAGNOSTICS PLLC NPI is 1902403264. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Park Diagnostics Pllc, , Radiology.

The provider's business location address is:

3346 PROFESSIONAL PARK
SUITE A
OWENSBORO, KY
ZIP 42303-551
Phone: (270) 228-0405
Fax: (270) 852-8924

The provider's authorized official is Debra T Mattingly .
The authorized official title is Credentialing Manager and has the following contact phone number (270) 852-8931.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 10/8/2020 and was last updated on 10/15/2020.

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
1261QR0200XClinic/CenterRadiologyYes

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: 3/30/2025

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