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PROSCAN IMAGING OF LOUISVILLE LLC NPI 1972657104


NPI Information

NPI: 1972657104
Provider Name: PROSCAN IMAGING OF LOUISVILLE LLC

Doing Business As: PROSCAN IMAGING ST MATTHEWS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4044 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40207
Phone: (502) 491-1313
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PROSCAN IMAGING OF LOUISVILLE LLC is a diagnostic radiology radiology in Louisville, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROSCAN IMAGING OF LOUISVILLE LLC NPI is 1972657104. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Proscan Imaging St Matthews.

The provider's business location address is:

4044 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40207-712
Phone: (502) 491-1313
Fax: (502) 491-1315

The provider's authorized official is Karen E Amaya .
The authorized official title is Chief Administrative Officer and has the following contact phone number (513) 924-5174.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/31/2016.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
19382601MEDICARE 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: 4/28/2024

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