Bluegrass Mobile Xray Inc

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

BLUEGRASS MOBILE XRAY INC

Practice address

546 Hunters GLN
Madisonville, KY 42431-8688

Phone

(270) 824-9630

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Bryan Borders

Title

President

Phone

(270) 824-9630

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1891975272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 HUNTERS GLN",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 HUNTERS GLN",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318688",
            "telephone_number": "270-824-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS MOBILE XRAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-824-9630"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86054012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Deann Blair, APRN, NP-C
• Brandi Nicole Bloodworth
• Judy B. Blue
• Bluegrass I.V. Care, Inc. (Bluegrass Home Medical)
• Bluegrass Kids Therapy Center LLC
• Bluegrass Pharmacies Inc (Bluegrass LTC Pharmacy)
• Bluegrass Pharmacies, Inc (Bluegrass Pharmacy)
• Marion Kelly Boone, CSFA
• Bryan Borders
• Myrna Borders, CRNA

• Radiologic Technologist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Radiologic Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.