NPIMap

Organization Active NPI

Radiology and Diagnostic Imaging, PSC

  • Diagnostic Radiology Physician
  • Owensboro, KY
National Provider Identifier
1013916857
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00000 Issued in KY
Legal business name
RADIOLOGY AND DIAGNOSTIC IMAGING, PSC
Doing business as
RDI
Practice address
2200 E Parrish Ave
Building D
Owensboro, KY 42303-1449
Phone
(270) 926-8171
Fax
(270) 926-4574
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandy Hayden
Title
Director Financial Services
Phone
(270) 926-8171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 00000 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave
Building D
Owensboro, KY 42303-1449

Mailing address

2200 E Parrish Ave
Building D
Owensboro, KY 42303-1449
Phone (270) 926-8171

Other identifiers 3

IdentifierTypeStateIssuer
65939407MedicaidKY
000000072893OtherKYBCBS
CB7113OtherKYRAILROAD MEDICARE

Other names 1

  • RDI Doing business as

National Provider Directory

National Provider Directory

Locations

2200 E Parrish Ave
#D
Owensboro, KY 42303
Phone (270) 926-8171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1013916857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BUILDING D",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-926-8171",
            "fax_number": "270-926-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BUILDING D",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-926-8171",
            "fax_number": "270-926-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY AND DIAGNOSTIC IMAGING, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "DIRECTOR FINANCIAL SERVICES",
        "authorized_official_telephone_number": "270-926-8171"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939407",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000072893",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB7113",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RDI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.