1679535702 NPI number — DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC.

Table of content: (NPI 1679535702)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679535702 NPI number — DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679535702
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1108 DUPONT CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40207-4804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-897-0139
Provider Business Mailing Address Fax Number:
502-897-5337

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3900 DUPONT SQ S
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40207-4615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-584-0128
Provider Business Practice Location Address Fax Number:
502-584-0149
Provider Enumeration Date:
04/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
IRWIN
Authorized Official First Name:
JERI
Authorized Official Middle Name:
P.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
502-584-0128

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 65914947 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: CC2698 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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