RUSSELLVILLE DIAGNOSTIC IMAGING – NPI #1295906121
Radiology

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

RUSSELLVILLE DIAGNOSTIC IMAGING is a radiologist located in RUSSELLVILLE, KY. NPPES has assigned the NPI number 1295906121 to RUSSELLVILLE DIAGNOSTIC IMAGING on March 19, 2008. 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 18 years ago on Nov 17, 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 RUSSELLVILLE DIAGNOSTIC IMAGING below.

NPI Profile for
RUSSELLVILLE DIAGNOSTIC IMAGING

NPI Number
1295906121
Enumeration Date

(more than 18 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
RUSSELLVILLE DIAGNOSTIC IMAGING
Primary location
1625 NASHVILLE ST
RUSSELLVILLE, KY 42276-8853
Phone: (270) 725-4561 Fax:
Mailing address
PO BOX 3339
CLARKSVILLE, TN 37043-3339
Phone: (931) 647-5034 Fax:
Organization Subpart
No
Authorized Official
TODD TALMADGE
DIRECTOR
Phone: (270) 725-4561
Updated
Identifiers

Identifiers for RUSSELLVILLE DIAGNOSTIC IMAGING

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
OTHERANTHEM BCBSKY000000566896
OTHERRAILROAD MEDICAREDN6583
MEDICAIDKY7100040150
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)
TN MD36221

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.