Midwest Radiology Kentucky LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

720176 Issued in KY

Legal business name

MIDWEST RADIOLOGY KENTUCKY LLC

Practice address

4500 Bowling Blvd Ste 100
Louisville, KY 40207-5147

Phone

(317) 595-6040

Fax

(317) 595-6050

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Steven Ganote

Title

Operations Manager

Phone

(317) 557-6165

Specialties & licenses 1

Addresses

Other identifiers 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• 1003 Investments, LLC

  • Mobile Radiology Clinic/Center
  • Louisville, KY
  • NPI 1609061639
  NPPES parent name

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1336289107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56046",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462560046",
            "telephone_number": "317-595-6040",
            "fax_number": "317-595-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BOWLING BLVD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075147",
            "telephone_number": "317-595-6040",
            "fax_number": "317-595-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RADIOLOGY KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "GANOTE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "317-557-6165"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "KY",
            "license": "720176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000395",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00089265",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Anesthesia Services LLC
• Midwest Gastroenterology Associates
• Midwest Geriatrics
• Midwest Infectious Disease PLLC
• Midwest Internal Medicine P.S.C
• Dwight Mielke
• Alexandra M Mientus
• Catherine Mier, M.D.
• Kayla Migneron
• Rodney M Miguel, MD

• Mobile Radiology Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Mobile Radiology Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.