LIFESCAN OF LOUISVILLE LLC NPI 1942203955

NPI Information

NPI: 1942203955
Provider Name: LIFESCAN OF LOUISVILLE LLC

Doing Business As: LIFESCAN LOUISVILLE

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

Specialization: Radiology

Address:
4046 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40207
Phone: (502) 893-7145
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LIFESCAN OF LOUISVILLE LLC is a radiology clinic center in Louisville, KY. LIFESCAN OF LOUISVILLE LLC NPI is 1942203955. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifescan Louisville.

The provider's business location address is:

4046 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40207-712
Phone: (502) 893-7145
Fax: (502) 893-7147

The provider's authorized official is Michelle Douglas .
The authorized official title is Contract Manager and has the following contact phone number (502) 403-1401.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 1/11/2012.

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	261QR0200X	Clinic/Center	Radiology			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
1	65933764	MEDICAID	KENTUCKY
2	7100041020	MEDICAID	KENTUCKY
3	9365601	MEDICARE PIN	KENTUCKY

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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