BLUEGRASS MOBILE XRAY INC (NPI# 1891975272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891975272 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS MOBILE XRAY INC |
| Practice Address |
546 Hunters Gln Madisonville KY 42431-8688 |
| Practice Telephone | 2708249630 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | BRYAN BORDERS (PRESIDENT) |
| Authorized Official Telephone | 2708249630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | KY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 86054012 | 05 |
| Street Address |
546 HUNTERS GLN |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-8688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427198639 | Bryan Borders | Radiologic Technologist | 546 Hunters Gln, Madisonville, KY 42431-8688 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427198639 | Bryan Borders | Radiologic Technologist | 546 Hunters Gln, Madisonville, KY 42431-8688 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905903 | Amy Key | Radiologic Technologist | 9304 Grandstand Ct, Louisville, KY 40291-1395 | 2017-11-12 |
| 1811327133 | Xpress Diagnostic Center Inc | Radiologic Technologist | 8600 Preston Hwy # 100, Louisville, KY 40219-5306 | 2013-11-22 |
| 1417075664 | John Adams | Radiologic Technologist | 4819 Greenvale Cir, Louisville, KY 40272-3182 | 2007-03-27 |
| 1891847331 | Ultrasound Consulting Services, Inc. | Radiologic Technologist | 3001 Montavesta Rd, Lexington, KY 40502-2907 | 2007-01-17 |
| 1265489066 | Mobile Medical Resources, Inc. | Radiologic Technologist | 880 Alexandria Pike, Fort Thomas, KY 41075-4350 | 2006-05-27 |
| 1437421492 | Chanda Bernice Sams | Radiologic Technologist | 301 Cedar St, Pineville, KY 40977-1403 | 2012-02-06 |
| 1225277197 | Brenda Elaine Heimer | Radiologic Technologist | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2009-02-17 |
| 1770502791 | Ace Clinique of Medicine | Radiologic Technologist | 181 Roy Campbell Dr, Hazard, KY 41701-0000 | 2006-07-19 |
| 1124092721 | Central Kentucky Comprehensive Imaging and Diagnostic Services LLC | Radiologic Technologist | 225 Church St, Pikeville, KY 41501-3217 | 2006-02-13 |
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on BLUEGRASS MOBILE XRAY INC.
| 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.