MIDWEST RADIOLOGY KENTUCKY LLC (NPI# 1336289107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336289107 |
| Entity Type | Organization |
| Organization Name | MIDWEST RADIOLOGY KENTUCKY LLC |
| Practice Address |
4500 Bowling Blvd Ste 100 Louisville KY 40207-5147 |
| Mailing Address |
Po Box 56046 Indianapolis IN 46256-0046 |
| Practice Telephone | 3175956040 |
| Practice Fax Number | 3175956050 |
| Mailing Telephone | 3175956040 |
| Mailing Fax Number | 3175956050 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | STEVEN GANOTE (OPERATIONS MANAGER) |
| Authorized Official Telephone | 3175576165 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
720176 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | P00089265 | 01 |
| KY | 86000395 | 05 |
| Street Address |
4500 BOWLING BLVD STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609061639 | 1003 Investments, LLC | Clinic/Center | 4500 Bowling Blvd, Suite 100, Louisville, KY 40207-5147 | 2007-09-12 |
| 1346865763 | Pdi Health Ky LLC | Clinic/Center | 9850 Von Allmen Ct, Louisville, KY 40241-2854 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053642314 | Fast Response Portable Imaging Inc | Clinic/Center | 4658 Litwin St # A, Fort Campbell, KY 42223 | 2010-01-26 |
| 1689809816 | Heartcare,llc | Clinic/Center | 2001 Button Ln, Suite E, La Grange, KY 40031-7795 | 2009-05-18 |
| 1972551075 | Soundtech, Inc. | Clinic/Center | 805 E Alexa Dr, Mt Sterling, KY 40353-1000 | 2006-05-04 |
| 1801251475 | Kentucky Technical Services, Psc | Clinic/Center | 3945 Peppertree Dr, Lexington, KY 40513-1398 | 2015-12-23 |
| 1467892190 | Alliance Healthcare Services Inc | Clinic/Center | 1000 Saint Christopher Dr, Ashland, KY 41101-7034 | 2013-06-26 |
| 1629339171 | Source Diagnostics of Kentucky, LLC | Clinic/Center | 534 Enterprise Dr, Erlanger, KY 41017-1526 | 2012-05-31 |
| 1700831559 | Diagnostic Radiology Systems Inc | Clinic/Center | 3475 Richmond Rd, Suite 150, Lexington, KY 40509-2500 | 2006-05-23 |
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on MIDWEST RADIOLOGY KENTUCKY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.