SOURCE DIAGNOSTICSOF KENTUCKY, LLC


Address: 534 Enterprise Dr, Erlanger, KY 41017-1526
Phone: 8665121515

SOURCE DIAGNOSTICSOF KENTUCKY, LLC (NPI# 1285932905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285932905
Entity Type Organization
Organization Name SOURCE DIAGNOSTICSOF KENTUCKY, LLC
Practice Address 534 Enterprise Dr
Erlanger
KY 41017-1526
Mailing Address 5275 Naiman Pkwy
Suite E
Solon
OH 44139-1033
Practice Telephone 8665121515
Mailing Telephone 4406457822
Enumeration Date 2011-03-03
Last Update Date 2012-11-13
Authorized Official Name MS. KATHLEEN ANN BARRY (C.O.O.)
Authorized Official Telephone 4406457822
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Office Location

Street Address 534 ENTERPRISE DR
City ERLANGER
State KY
Zip Code 41017-1526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629339171 Source Diagnostics of Kentucky, LLC Clinic/Center 534 Enterprise Dr, Erlanger, KY 41017-1526 2012-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578187209 St. Elizabeth Medical Center, Inc. Pharmacy 1 Medical Village Dr., Edgewood, KY 41017 2020-05-28
1366084337 St. Elizabeth Medical Center, Inc. Pharmacy 850 Thomas More Parkway, Edgewood, KY 41017 2019-10-11
1396396750 Family First Vision Care Kentucky Optometrist 614 Buttermilk Pike, Fort Mitchell, KY 41017 2019-09-26
1083184543 Katie Franconia Smith Nurse Practitioner 2865 Chancellor Dr., Crestview Hills, KY 41017 2018-11-27
1871077511 Janet Reeves Martin Nurse Practitioner Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 2018-09-19
1144713983 Kelly Wiechart Dentist 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 2018-06-06
1225535966 Proscan Radiology Northern Kentucky, LLC Radiology 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 2018-04-10
1396241626 Tressa S. Leahy Physical Therapist 200 Medical Village Drive, Edgewood, KY 41017 2018-04-04
1699294470 Raymond Gardinier Physical Therapist 3755 Old Ky 17, Fort Wright, KY 41017 2017-09-13
1992229785 Adrienne Bussard Physician Assistant 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 2017-08-02
Find all providers in zip 41017

Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780109116 Kentucky Diagnostic Ultrasound, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 324 Water Cliff Dr., Somerset, KY 42503 2017-08-07
1316302094 Vision Mobile Diagnostics Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7321 New La Grange Rd, Suite 112, Louisville, KY 40222-4800 2015-12-22
1619218609 Advanced Mobile Imaging Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 94 Fischer Ln, Fort Thomas, KY 41075-1778 2013-03-15
1093030959 Vpa PC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 47 Cavalier Blvd Ste 120, Florence, KY 41042-3970 2010-04-05
1821191263 Vascular Soultions of Kentucky Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1800 New Salem Road, London, KY 40741 2006-09-07
1306878996 Mountain Mobile Diagnostics, Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 725 Hardburly Rd, Bulan, KY 41722-8907 2006-07-06
1841283306 Portarad LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7460 Chase Lane, Jeffersonville, KY 40337-8979 2005-08-30
1154946580 Pdi Health Ky LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 9850 Von Allmen Ct Ste 201, Louisville, KY 40241-2855 2020-06-11
1184092009 Mobile Images of Kentucky LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 517 N Maple St, Winchester, KY 40391-1475 2015-09-09
1518358191 Symphony Diagnostic Services No 1 LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4113 Bardstown Rd, Ste 103, Louisville, KY 40218-3293 2015-02-18
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Competitor

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City ERLANGER
Zip Code 41017

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Dataset Information

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.

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