Bluegrass Xray PSC
Organization Active NPI Diagnostic Radiology Physician · Lebanon, KY
NPI 1124062906 · NPPES record last updated Aug 23, 2007
Key facts
- NPI
- 1124062906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- BLUEGRASS XRAY PSC
- Practice address
- 320 Loretto Rd
Lebanon, KY 40033-1300 - Phone
- (270) 692-5267
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Cheryl L Baker, MD
- Title
- President
- Phone
- (270) 692-5267
Practitioners 1
-
Cheryl L Baker, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
320 Loretto Rd
Lebanon, KY 40033-1300
Mailing address
PO Box 182255
Columbus, OH 43218-2255
Phone (513) 852-2442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2622933000 | Other | PASSPORT ADVANTAGE | |
| 50007610 | Other | PASSPORT HEALTH | |
| DD5463 | Other | MEDICARE RAILROAD |
Other providers in Lebanon, KY
- Mary Elizabeth Batt
- Better Way Therapy, PLLC
- Bio-Medical Applications of Kentucky, Inc.
- Jacquelyn R Blandford
- Bluegrass Eye Surgery PSC
- Michael Brennan
- Brittany Nicole Bright
- Tiffany D Brock
- Caroline Grace Buckman
- Lisa Marie Buckman
All providers in Lebanon, KY · Diagnostic Radiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.