NPIMap

Organization Active NPI

Vargo Enterprises Inc

  • Diagnostic Radiology Physician
  • Paris, KY
National Provider Identifier
1245313246
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
896 Issued in KY
Legal business name
VARGO ENTERPRISES INC
Practice address
2017 South Main
Paris, KY 40361
Phone
(859) 987-1665
Fax
(859) 987-3064
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Ms. Henrietta Ruth Grey, CLS
Title
Lab Manager
Phone
(859) 987-1665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 896 KY Primary
Clinical Medical Laboratory 291U00000X 200122 KY

Addresses

Primary practice location

2017 South Main
Paris, KY 40361

Mailing address

2017 South Main
Paris, KY 40361
Phone (859) 987-1665

Other identifiers 2

IdentifierTypeStateIssuer
37902483MedicaidKY
86000916MedicaidKY

Other names 1

  • Bourbon Medical Lab & X-Ray Doing business as

National Provider Directory

National Provider Directory

Locations

2017 Main St
Ste 3
Paris, KY 40361
Phone (859) 987-1665

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1245313246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 SOUTH MAIN",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40361",
            "telephone_number": "859-987-1665",
            "fax_number": "859-987-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 SOUTH MAIN",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40361",
            "telephone_number": "859-987-1665",
            "fax_number": "859-987-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARGO ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "LAB MANAGER",
        "authorized_official_telephone_number": "859-987-1665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CLS"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "896",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37902483",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000916",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourbon Medical Lab & X-Ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.