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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Street Address |
534 ENTERPRISE DR |
City | ERLANGER |
State | KY |
Zip Code | 41017-1526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629339171 | Source Diagnostics of Kentucky, LLC | Clinic/Center | 534 Enterprise Dr, Erlanger, KY 41017-1526 | 2012-05-31 |
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 Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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] |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SOURCE DIAGNOSTICSOF 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.