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Contact Information

DIAGNOSTIC IMAGING SHELBYVILLE, LLC
101 STONECREST RD
STE 2
SHELBYVILLE, KY40065
 Phone: 502-647-0311
 Fax: 502-647-6011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for DIAGNOSTIC IMAGING SHELBYVILLE, LLC

NPI Number 1003837378
LBN Legal business name DIAGNOSTIC IMAGING SHELBYVILLE, LLC
Authorized official JANNICE AARON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 10/31/2007 - About 19 years ago
Identifiers
KY Medicaid 50013025
KY Medicaid 50013026
KY Medicaid 50013027
KY Medicaid 50013029
KY Medicaid 50013647
KY Medicaid 50013806
KY Medicaid 7100001970
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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