NPI 1124062906 · live from the CMS NPI Registry
Bluegrass Xray Psc
Radiology, Diagnostic Radiology in Lebanon, KY. National Provider Identifier 1124062906, active.
NPI record
| NPI | 1124062906 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 320 Loretto Rd, Lebanon, KY 40033 |
| Practice phone | 270-692-5267 |
| Mailing address | Po Box 182255, Columbus, OH 43218 |
| Enumerated | June 15, 2006 |
| Last updated | August 23, 2007 |
| Authorized official | Cheryl Baker, President |
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.