Source Diagnostics of Kentucky, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SOURCE DIAGNOSTICS OF KENTUCKY, LLC

Practice address

534 Enterprise Dr
Erlanger, KY 41017-1526

Phone

(866) 512-1515

NPI assigned

May 31, 2012

Last updated

May 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen A Barry

Title

Coo

Phone

(440) 645-7822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1629339171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 NAIMAN PKWY",
            "address_2": "STE E",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391029",
            "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 DIAGNOSTICS OF KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "440-645-7822"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas D Smith
• Bruce Alan Snider, MD
• Amanda Mae Snow, LMT
• Solutions in Living, LLC
• Johannah M Sorrell
• Source Diagnosticsof 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

• Mobile Radiology Clinic/Center in Erlanger, KY
• Providers in Erlanger, 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 May 31, 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.