Pet CT Management LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

PET CT MANAGEMENT LLC

Practice address

7807 Shelbyville Rd
Ste 201
Louisville, KY 40222-5439

Phone

(502) 412-2725

Fax

(502) 412-2729

NPI assigned

Sep 1, 2005

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Allen Morris

Title

Treasurer

Phone

(502) 896-7672

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BODY SCAN OF LOUISVILLE LLC Former legal business name

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1952395238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 SHELBYVILLE RD",
            "address_2": "STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225439",
            "telephone_number": "502-412-2725",
            "fax_number": "502-412-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 SHELBYVILLE RD",
            "address_2": "STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225439",
            "telephone_number": "502-412-2725",
            "fax_number": "502-412-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET CT MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "502-896-7672"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000321134",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000429",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BODY SCAN OF LOUISVILLE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Perspectives Psychological Services PLLC
• Melina Jo Persson
• Pet360 (Petscriptions)
• Pet360 Pharmacy LLC
• Lavanya Wijeratne Peter, PHARM.D.
• Todd Charles Peter, D.M.D.
• Alexandra Dawn Peters, M.ED., LPCC-S

• Body Imaging Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Body Imaging Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.