LIFESCAN IMAGING, LLC (NPI# 1780687798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780687798 |
| Entity Type | Organization |
| Organization Name | LIFESCAN IMAGING, LLC |
| Practice Address |
607 Clifty St Ste 102 Somerset KY 42503-1765 |
| Practice Telephone | 6066776664 |
| Practice Fax Number | 6066776560 |
| Mailing Telephone | 6066776664 |
| Mailing Fax Number | 6066776560 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5024031401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100090800 | 05 | |
| KY | 65940322 | 05 |
| Street Address |
607 CLIFTY ST STE 102 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274045 | James Scott Neal | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-27 |
| 1427658871 | Courtney Fox | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-27 |
| 1790385151 | Amy Lee Conley | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-27 |
| 1043819527 | Donna Madden | Licensed Practical Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-26 |
| 1285241315 | Nettie P Embry | Registered Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2020-09-23 |
| 1922632892 | Amanda Sexton | Registered Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2020-02-28 |
| 1851937700 | Heather Susanne Bishop | Licensed Practical Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2019-11-25 |
| 1922658749 | Carla Marie Suttles | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2019-09-13 |
| 1245728526 | Terri Stege | Registered Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2018-04-23 |
| 1497243778 | Judy Black | Registered Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2018-04-23 |
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| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 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 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
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| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125226 | Roseland Medical Imaging Pa | Clinic/Center | 107 Cedar Grove Lane, Suite 108, Somerset, NJ 08873 | 2006-02-23 |
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|---|---|---|---|---|
| 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.