NPI 1295091148 · live from the CMS NPI Registry
Colin Michael Carroll, M.D.
Radiology, Diagnostic Radiology in Louisville, KY. National Provider Identifier 1295091148, active.
NPI record
| NPI | 1295091148 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4000 Kresge Way, Louisville, KY 40207 |
| Practice phone | 502-897-9281 |
| Mailing address | 702 Executive Park, Louisville, KY 40207 |
| Enumerated | April 4, 2012 |
| Last updated | July 13, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 49643 (TN) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 50836 (KY) |
| Radiology, Body Imaging | 2085B0100X | 49643 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.