NPIMap

Organization Active NPI

Blue Grass Diagnostics

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1073767737
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BLUE GRASS DIAGNOSTICS
Practice address
820 S. 6TH St
Louisville, KY 40203
Phone
(502) 568-1000
Fax
(502) 736-9369
NPI assigned
Nov 7, 2008
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVE MEDICAL & REHABILITATION GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Ms. Linda Wagner
Title
Billing Manager
Phone
(502) 568-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

820 S. 6TH St
Louisville, KY 40203

Mailing address

P.O. Box 0907
Louisville, KY 40201-0937
Phone (502) 568-1000

National Provider Directory

National Provider Directory
Part of
Progressive Medical Rehabilitation Group

Locations

820 S 6th St
Louisville, KY 40203
Phone (502) 568-1000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1073767737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 0907",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010937",
            "telephone_number": "502-568-1000",
            "fax_number": "502-736-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S. 6TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40203",
            "telephone_number": "502-568-1000",
            "fax_number": "502-736-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE GRASS DIAGNOSTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE MEDICAL & REHABILITATION GROUP",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "502-568-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.