# EBO MRI, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205080082
- **Authorized official:** MRS. SHARON GRASCH (BUSINESS MANAGER)
- **Authorized official phone:** (502) 587-9581

## Contact information

- **Practice address:** 13151 MAGISTERIAL DR, LOUISVILLE, KY 40223-4103
- **Practice address phone:** (502) 587-1236
- **Practice address fax:** (502) 587-0318
- **Mailing address:** 100 E LIBERTY ST, SUITE 600, LOUISVILLE, KY 40202-1434
- **Mailing address phone:** (502) 587-1236
- **Mailing address fax:** (502) 587-0318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 06/21/2018