Active NPI
Bluegrass Mobile Xray Inc
- Radiologic Technologist
- Madisonville, KY
National Provider Identifier
1891975272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- 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
- Last updated
- Nov 14, 2007
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | KY | Primary |
Addresses
Primary practice location
546 Hunters GLN
Madisonville, KY 42431-8688
Mailing address
546 Hunters GLN
Madisonville, KY 42431-8688
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiologic Technologist
- Madisonville, KY
- NPI 1427198639
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
- 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
Sources for this page
- 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.