National Provider Identifier Database

SOURCE DIAGNOSTICSOF KENTUCKY LLC
Portable Xray Supplier

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.


Contact Information

SOURCE DIAGNOSTICSOF KENTUCKY, LLC
534 ENTERPRISE DR
ERLANGER, KY41017-1526
Phone: 866-512-1515
Fax:
Website:
Specialty Taxonomy Code
* Portable Xray Supplier 335V00000X

* Indicates primary specialty

NPI Profile & details for SOURCE DIAGNOSTICSOF KENTUCKY, LLC

NPI Number 1285932905
Legal business name
LBN
SOURCE DIAGNOSTICSOF KENTUCKY, LLC
Authorized official KATHLEEN BARRY - (C.O.O.)
Entity Organization
Organization subpart No
Enumeration date 03/03/2011
Last updated 11/13/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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