NPI 1073767737 · live from the CMS NPI Registry
Blue Grass Diagnostics
Radiology, Diagnostic Radiology in Louisville, KY. National Provider Identifier 1073767737, active.
NPI record
| NPI | 1073767737 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 820 S. 6th St, Louisville, KY 40203 |
| Practice phone | 502-568-1000 |
| Mailing address | P.O. Box 0907, Louisville, KY 40201 |
| Enumerated | November 7, 2008 |
| Last updated | January 9, 2009 |
| Authorized official | Linda Wagner, Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.