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PET CT MANAGEMENT LLC NPI 1952395238


NPI Information

NPI: 1952395238
Provider Name: PET CT MANAGEMENT LLC

Former Legal Business Name: BODY SCAN OF LOUISVILLE LLC

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
7807 SHELBYVILLE RD
STE 201
LOUISVILLE, KY
ZIP 40222
Phone: (502) 412-2725
Get Directions

PET CT MANAGEMENT LLC is a body imaging radiology in Louisville, KY. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. PET CT MANAGEMENT LLC NPI is 1952395238. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Body Scan Of Louisville Llc.

The provider's business location address is:

7807 SHELBYVILLE RD
STE 201
LOUISVILLE, KY
ZIP 40222-439
Phone: (502) 412-2725
Fax: (502) 412-2729

The provider's authorized official is James Allen Morris .
The authorized official title is Treasurer and has the following contact phone number (502) 896-7672.

The enumeration date for this NPI number is 9/1/2005 and was last updated on 7/15/2008.


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
12085B0100XRadiologyBody ImagingKENTUCKYYes

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
1P00113193MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYRAILROAD
29372701MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
3000000321134OTHERKENTUCKYANTHEM
486000429MEDICAIDKENTUCKY

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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