Source Diagnosticsof Kentucky, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

SOURCE DIAGNOSTICSOF KENTUCKY, LLC

Practice address

534 Enterprise Dr
Erlanger, KY 41017-1526

Phone

(866) 512-1515

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Ann Barry

Title

C.O.O.

Phone

(440) 645-7822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1285932905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 NAIMAN PKWY",
            "address_2": "SUITE E",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391033",
            "telephone_number": "440-645-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 ENTERPRISE DR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410171526",
            "telephone_number": "866-512-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE DIAGNOSTICSOF KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "440-645-7822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Alan Snider, MD
• Amanda Mae Snow, LMT
• Solutions in Living, LLC
• Johannah M Sorrell
• Source Diagnostics of Kentucky, LLC
• David H Sower, MD
• St Elizabeth Medical Center Inc (St Elizabeth Business Health Center)
• St Elizabeth Medical Center, Inc (St. Elizabeth Healthcare)
• St. Elizabeth Health Care
• Matthew Stecht Ronald Stecht

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.