BLUEGRASS XRAY PSC – NPI #1124062906
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

BLUEGRASS XRAY PSC is a radiologist located in LEBANON, KY. NPPES has assigned the NPI number 1124062906 to BLUEGRASS XRAY PSC on June 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Aug 23, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEGRASS XRAY PSC below.

NPI Profile for
BLUEGRASS XRAY PSC

NPI Number
1124062906
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUEGRASS XRAY PSC
Primary location
320 LORETTO RD
LEBANON, KY 40033-1300
Phone: (270) 692-5267 Fax:
Mailing address
PO BOX 182255
COLUMBUS, OH 43218-2255
Phone: (513) 852-2442 Fax:
Organization Subpart
No
Authorized Official
CHERYL BAKER
PRESIDENT
Phone: (270) 692-5267
Updated
Identifiers

Identifiers for BLUEGRASS XRAY PSC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE RAILROADDD5463
OTHERPASSPORT ADVANTAGE2622933000
OTHERPASSPORT HEALTH50007610
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.