HENDERSON LAB AND XRAY (NPI# 1578739132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578739132 |
| Entity Type | Organization |
| Organization Name | HENDERSON LAB AND XRAY |
| Practice Address |
1413 N Elm St Henderson KY 42420-2768 |
| Mailing Address |
Po Box 3316 Evansville IN 47732-3316 |
| Practice Telephone | 2708266277 |
| Practice Fax Number | 8124640565 |
| Mailing Telephone | 8124640521 |
| Mailing Fax Number | 8124640565 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DR. SATYAM TATINENI (PRESIDENT/THE HEART GROUP) |
| Authorized Official Telephone | 8124640521 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE HEART GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
730027 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 8602051800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669648226 | Henderson Lab and Xray | Clinical Medical Laboratory | 1413 N Elm St, Henderson, KY 42420-2768 | 2008-05-05 |
| Street Address |
1413 N ELM ST |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905169 | Gregory Brent Hagedorn | Optometrist | 1413 N Elm St, Suite 102, Henderson, KY 42420-2768 | 2006-05-02 |
| 1437535648 | Crystal Stone Oliver | Optometrist | 1413 N Elm St, Suite 102, Henderson, KY 42420-2768 | 2015-08-11 |
| 1346631603 | Pamela Raleigh | Social Worker | 1413 N Elm St, Ste 205, Henderson, KY 42420-2768 | 2015-02-09 |
| 1912271255 | Dr. Gregory B. Hagedorn, Od | Optometrist | 1413 N Elm St, Suite 102, Henderson, KY 42420-2768 | 2012-03-05 |
| 1508168972 | Ricardo B Maddela Md Psc | Surgery | 1413 N Elm St, Henderson, KY 42420-2768 | 2010-11-17 |
| 1245547892 | Methodist Health, Inc. | Surgery | 1413 N Elm St, Suite 204, Henderson, KY 42420-2768 | 2010-09-02 |
| 1144536251 | Community United Methodist Hospital, Inc. | Surgery | 1413 N Elm St, Henderson, KY 42420-2768 | 2010-08-26 |
| 1609000165 | Radhika Inc | Clinical Medical Laboratory | 1413 N Elm St, Henderson, KY 42420-2771 | 2009-05-12 |
| 1669648226 | Henderson Lab and Xray | Clinical Medical Laboratory | 1413 N Elm St, Henderson, KY 42420-2768 | 2008-05-05 |
| 1750552493 | John Mcclellan | Family Medicine | 1413 N Elm St, Henderson, KY 42420-2768 | 2008-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305856 | Medical Diagnostic Services, Inc. | Clinic/Center | 6301 Mountain Vista St., Suite 101, Henderson, NV 89014-2631 | 2006-05-20 |
| 1518081827 | Dkt LLC | Clinic/Center | 600 Whitney Ranch Dr, Ste B9, Henderson, NV 89014-2611 | 2007-03-19 |
| 1053341032 | Medical Diagnostic Services | Clinic/Center | 600 Whitney Ranch Dr, B9, Henderson, NV 89014-2611 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044523 | Norton Hospitals Inc | Clinic/Center | 4420 Dixie Hwy Ste 108, Louisville, KY 40216-2986 | 2020-08-18 |
| 1952935041 | Gnd Radiology Solutions, LLC | Clinic/Center | 6801 Dixie Hwy Ste 238, Louisville, KY 40258-3961 | 2020-02-27 |
| 1194077248 | Saint Joseph Health System Inc. | Clinic/Center | 1099 Duval St, Suite 150, Lexington, KY 40515-6490 | 2012-10-12 |
| 1164664330 | Pro Imaging Lexington | Clinic/Center | 523 Welllington Way, 180, Lexington, KY 40502 | 2009-04-02 |
| 1962628727 | Central Physicians Imaging | Clinic/Center | 100 Southland Dr, Suite B, Lexington, KY 40503-1927 | 2007-04-18 |
| 1538280078 | Fleming Regional Medical Imaging, Pllc | Clinic/Center | 730 Elizaville Rd, Flemingsburg, KY 41041 | 2007-04-03 |
| 1457480832 | Maggies Enterprises LLC | Clinic/Center | 102 Mountain View Cmns, Pineville, KY 40977-8708 | 2007-03-03 |
| 1447388335 | Norton Hospitals Inc | Clinic/Center | 4960 Norton Healthcare Blvd, Louisville, KY 40241-2831 | 2007-03-01 |
| 1780751487 | Diversified Patient Resources, Inc. | Clinic/Center | 2547 Dell Rd, Louisville, KY 40205-2309 | 2006-11-29 |
| 1174697858 | Neurodiagnostics Inc. | Clinic/Center | 1725 Harrodsburg Rd Ste 100, Lexington, KY 40504-3601 | 2006-11-17 |
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| 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.