# RIVER CITY ORTHOPAEDIC SURGEONS PSC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVER CITY ORTHOPAEDIC SURGEONS PSC
- **Other names:** Stonestreet Medical Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730182445
- **Legal business name:** RIVER CITY ORTHOPAEDIC SURGEONS PSC
- **Authorized official:** MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
- **Authorized official phone:** (502) 403-1401

## Contact information

- **Practice address:** 9300 STONESTREET RD, STE 100, LOUISVILLE, KY 40272-2876
- **Practice address phone:** (502) 271-4150
- **Practice address fax:** (502) 933-1024
- **Mailing address:** 9300 STONESTREET RD, STE 100, LOUISVILLE, KY 40272-2876
- **Mailing address phone:** (502) 271-4150
- **Mailing address fax:** (502) 933-1024

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 01/07/2009