Kentucky Diagnostic Ultrasound, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

720431 Issued in KY

Legal business name

KENTUCKY DIAGNOSTIC ULTRASOUND, LLC

Practice address

324 Water Cliff Dr.
Somerset, KY 42503

Phone

(606) 219-1074

Fax

(606) 677-0175

NPI assigned

Aug 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Y Perry, ARRT(R)(M),RVTNPI 1205362001

Title

Owner/Operator

Phone

(606) 219-1074

Specialties & licenses 1

Addresses

Practitioners 1

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

• Julie Perry, ARRT(R)(M),RVT

  • Vascular Sonography Radiologic Technologist
  • Somerset, KY
  • NPI 1205362001
  NPD (past) Authorized official

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780109116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 WATER CLIFF DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425035390",
            "telephone_number": "606-219-1074",
            "fax_number": "606-677-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WATER CLIFF DR.",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-219-1074",
            "fax_number": "606-677-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY DIAGNOSTIC ULTRASOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "606-219-1074",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARRT(R)(M),RVT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "KY",
            "license": "720431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Somerset, KY
• Providers in Somerset, KY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.