# IDEAL IMAGE

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

## Provider details

- **NPI number:** 1548551054
- **Authorized official:** DR. FELIX ALBERT OLASH JR. M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (502) 897-1776

## Contact information

- **Practice address:** 3604 SPRINGHURST BLVD, LOUISVILLE, KY 40241-4142
- **Practice address phone:** (502) 425-3001
- **Mailing address:** 3604 SPRINGHURST BLVD, LOUISVILLE, KY 40241-4142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3006727 | KY | Yes |

## Other

- **Enumeration date:** 05/02/2011
- **Last updated:** 05/02/2011