Active NPI
Hospital Imaging Co Inc
- Diagnostic Radiology Physician
- Edgewood, KY
National Provider Identifier
1467564435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 73003
- Legal business name
- HOSPITAL IMAGING CO INC
- Practice address
- 2904 Foltz Drive
Edgewood, KY 41017-2525 - Phone
- (859) 344-5652
- Fax
- (859) 814-0025
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph F Carolin
- Title
- Chief Financial Officer
- Phone
- (859) 814-0082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 73003 | KY | Primary |
Addresses
Primary practice location
2904 Foltz Drive
Edgewood, KY 41017-2525
Mailing address
2200 Conner Rd
Hebron, KY 41048-8142
Phone (859) 344-5652
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000032158 | Other | KY | ANTHEM |
| 65902850 | Medicaid | KY | |
| 000000032158 | Other | OH | ANTHEM |
Other names 1
- Kentucky Diagnostic Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195171200000",
"number": "1467564435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 CONNER RD",
"city": "HEBRON",
"state": "KY",
"postal_code": "410488142",
"telephone_number": "859-344-5652",
"fax_number": "859-814-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 FOLTZ DRIVE",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410172525",
"telephone_number": "859-344-5652",
"fax_number": "859-814-0025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL IMAGING CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2007-11-16",
"status": "A",
"authorized_official_last_name": "CAROLIN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "859-814-0082"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "73003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000032158",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65902850",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000032158",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kentucky Diagnostic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.