NPIMap

Organization Active NPI

Diagnostic Medical Imaging Associates, PSC.

  • Radiology Clinic/Center
  • Louisville, KY
National Provider Identifier
1679535702
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC.
Practice address
3900 Dupont SQ S
Suite B
Louisville, KY 40207-4615
Phone
(502) 584-0128
Fax
(502) 584-0149
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Jeri P. Irwin, MDNPI 1639131774
Title
President
Phone
(502) 584-0128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3900 Dupont SQ S
Suite B
Louisville, KY 40207-4615

Mailing address

1108 Dupont Cir
Louisville, KY 40207-4804
Phone (502) 897-0139

Other identifiers 2

IdentifierTypeStateIssuer
65914947MedicaidKY
CC2698OtherKYRAILROAD MEDICARE

Other names 1

  • DMIA Doing business as

National Provider Directory

National Provider Directory

Locations

1108 DuPont Cir
Louisville, KY 40207
Phone (502) 584-0128

3900 S DuPont Sq
Ste B
Louisville, KY 40207
Phone (502) 584-0128

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1679535702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 DUPONT CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074804",
            "telephone_number": "502-897-0139",
            "fax_number": "502-897-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DUPONT SQ S",
            "address_2": "SUITE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074615",
            "telephone_number": "502-584-0128",
            "fax_number": "502-584-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-584-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65914947",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC2698",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

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

Verify at the official NPI Registry.