Organization Active NPI

Hospital Imaging Co Inc

Doing business as Kentucky Diagnostic Center

  • Diagnostic Radiology Physician
  • Hebron, KY
National Provider Identifier
1679625040
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
730070 Issued in KY
Legal business name
HOSPITAL IMAGING CO INC
Doing business as
Kentucky Diagnostic Center
Practice address
2200 Conner Road
Hebron, KY 41048-8142
Phone
(859) 344-5652
Fax
(859) 814-0025
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 730070 KY Primary

Addresses

Primary practice location

2200 Conner Road
Hebron, KY 41048-8142

Mailing address

2200 Conner Road
Hebron, KY 41048-8142

Other identifiers 3

IdentifierTypeStateIssuer
000000032158OtherOHANTHEM
65902850MedicaidKY
000000032158OtherKYANTHEM

Other names 1

  • Kentucky Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1679625040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CONNER ROAD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CONNER ROAD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488142",
            "telephone_number": "859-344-5652",
            "fax_number": "859-814-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL IMAGING CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "730070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000032158",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65902850",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000032158",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hebron, 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.

Verify at the official NPI Registry.