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Bluegrass Xray Psc
Diagnostic Radiology Physician in Lebanon, Kentucky
NPI 1124062906

Bluegrass Xray Psc is a Diagnostic Radiology Physician based in Columbus, KY and is specialized in Diagnostic Radiology. Bluegrass Xray Psc practices in Lebanon, KY. The NPI Number for Bluegrass Xray Psc is 1124062906 and holds a License No. (Kentucky).

The current practice location address for Bluegrass Xray Psc is 320 Loretto Rd, Lebanon, KY and can be reached out via phone at 270-692-5267.

Location: 320 Loretto Rd, Lebanon, KY, 43218-2255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124062906
Provider Name
Bluegrass Xray Psc
Credential
Provider Entity Type
Organization
Address
320 Loretto Rd, Lebanon, KY, 43218-2255
Phone Number
270-692-5267
Fax Number
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2622933000 01 PASSPORT ADVANTAGE
50007610 01 PASSPORT HEALTH
DD5463 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
320 Loretto Rd
City
Lebanon
State
Kentucky
Zip
40033-1300
Phone Number
270-692-5267
Fax Number
person
Provider Business Mailing Address Details
Address
320 Loretto Rd
City
Lebanon
State
Kentucky
Zip
40033-1300
Phone Number
270-692-5267
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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