NPI 1609194596 · live from the CMS NPI Registry
Christina Blume Clark, M.D., Ph.D.
Radiology, Diagnostic Radiology in Louisville, KY. National Provider Identifier 1609194596, active.
NPI record
| NPI | 1609194596 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | Department Of Radiology University Of Louisville Hosp., 530 South Jackson Street Ccb-C07, Louisville, KY 40202 |
| Practice phone | 502-852-5875 |
| Mailing address | Dept. Of Radiology University Of Louisville Hospital, 530 South Jackson Street, Ccb-C07, Louisville, KY 40202 |
| Enumerated | May 17, 2010 |
| Last updated | December 13, 2022 |
| Sole proprietor | No |
| Other names | Christina Wiegand |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 50602 (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD461741 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.