Source Diagnosticsof Kentucky, LLC
Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier in Erlanger, KY. Organization (NPI-2).
NPI number1285932905
StatusActive
Last updated in NPPESNov 13, 2012
Details
- NPI
- 1285932905
- Entity type
- Organization (NPI-2)
- Legal business name
- Source Diagnosticsof Kentucky, LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2011
- Last updated
- Nov 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335V00000X | Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | – | – | Yes |
Practice location
534 Enterprise DrErlanger, KY 41017-1526
Phone 866-512-1515
Mailing address
5275 Naiman PkwySuite E
Solon, OH 44139-1033
Phone 440-645-7822
Authorized official
Kathleen Ann Barry
C.O.O.
4406457822
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