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BLUEGRASS RADIOLOGY ASSOCIATES INC NPI 1558314534


NPI Information

NPI: 1558314534
Provider Name: BLUEGRASS RADIOLOGY ASSOCIATES INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 18D2177716

Address:
305 LANGDON ST
SOMERSET, KY
ZIP 42503
Phone: (606) 679-7441
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BLUEGRASS RADIOLOGY ASSOCIATES INC is a diagnostic radiology radiology in Somerset, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BLUEGRASS RADIOLOGY ASSOCIATES INC NPI is 1558314534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

305 LANGDON ST
SOMERSET, KY
ZIP 42503-750
Phone: (606) 679-7441
Fax: (606) 678-9919

The provider's authorized official is William M Baker .
The authorized official title is President and has the following contact phone number (606) 679-7441.

The CLIA number assigned to this NPI record is 18D2177716 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16591689200MEDICAIDKENTUCKY
2000000059580OTHERKENTUCKYBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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