BOURBON MEDICAL LAB & X-RAY – NPI #1245313246
Radiology

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

Health Care Provider Taxonomy Code for Radiology

BOURBON MEDICAL LAB & X-RAY is a radiologist located in PARIS, KY. NPPES has assigned the NPI number 1245313246 to BOURBON MEDICAL LAB & X-RAY on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOURBON MEDICAL LAB & X-RAY” is a dba name, the actual legal business name for this organization is VARGO ENTERPRISES INC. With multiple taxonomy codes selected, 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 18 years ago on Sep 26, 2008. 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 BOURBON MEDICAL LAB & X-RAY below.

NPI Profile for
VARGO ENTERPRISES INC

NPI Number
1245313246
Enumeration Date

(more than 19 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
VARGO ENTERPRISES INC
Doing Business As (dba): BOURBON MEDICAL LAB & X-RAY
Primary location
2017 SOUTH MAIN
PARIS, KY 40361
Phone: (859) 987-1665 Fax: (859) 987-3064
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HENRIETTA GREY
LAB MANAGER
Phone: (859) 987-1665
Updated
Identifiers

Identifiers for BOURBON MEDICAL LAB & X-RAY

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
MEDICAIDKY37902483
MEDICAIDKY86000916
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)		 KY 896
291U00000X
- Clinical Medical Laboratory		 KY 200122

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.