NPIMap

Organization Active NPI

Kentuckiana Diagnostics

  • Diagnostic Radiology Physician
  • Jeffersonville, IN
National Provider Identifier
1225030901
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
KENTUCKIANA DIAGNOSTICS
Practice address
301 Southern Indiana Ave
Jeffersonville, IN 47130-3204
Phone
(812) 288-9838
Fax
(812) 288-6975
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Sandra Kay Williams
Title
General Manager
Phone
(812) 288-9838

Specialties & licenses 1

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

Addresses

Primary practice location

301 Southern Indiana Ave
Jeffersonville, IN 47130-3204

Mailing address

301 Southern Indiana Ave
Jeffersonville, IN 47130-3204
Phone (812) 288-9838

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225030901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SOUTHERN INDIANA AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303204",
            "telephone_number": "812-288-9838",
            "fax_number": "812-288-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTHERN INDIANA AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303204",
            "telephone_number": "812-288-9838",
            "fax_number": "812-288-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "812-288-9838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.