Organization Active NPI

Henderson Lab and Xray

  • Radiology Clinic/Center
  • Henderson, KY
National Provider Identifier
1578739132
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
730027 Issued in KY
Legal business name
HENDERSON LAB AND XRAY
Practice address
1413 N Elm St
Henderson, KY 42420-2768
Phone
(270) 826-6277
Fax
(812) 464-0565
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HEART GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Satyam Tatineni, MD
Title
President/the Heart Group
Phone
(812) 464-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 730027 KY Primary

Addresses

Primary practice location

1413 N Elm St
Henderson, KY 42420-2768

Mailing address

PO Box 3316
Evansville, IN 47732-3316
Phone (812) 464-0521

Other identifiers 1

IdentifierTypeStateIssuer
8602051800MedicaidKY

National Provider Directory

National Provider Directory
Part of
John McClellan

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1578739132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3316",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477323316",
            "telephone_number": "812-464-0521",
            "fax_number": "812-464-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202768",
            "telephone_number": "270-826-6277",
            "fax_number": "812-464-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON LAB AND XRAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEART GROUP",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "TATINENI",
        "authorized_official_first_name": "SATYAM",
        "authorized_official_title_or_position": "PRESIDENT/THE HEART GROUP",
        "authorized_official_telephone_number": "812-464-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "KY",
            "license": "730027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8602051800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.