Organization
RADIOLOGY AND DIAGNOSTIC IMAGING, PSC
Active
Other names
RDI
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY HAYDEN (DIRECTOR FINANCIAL SERVICES)
(270) 926-8171
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BUILDING D, OWENSBORO, KY 42303-1449
(270) 926-8171
(270) 926-4574
Mailing address
2200 E PARRISH AVE, BUILDING D, OWENSBORO, KY 42303-1449
(270) 926-8171
(270) 926-4574
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000072893
BCBS
KY
05
—
65939407
—
KY
01
—
CB7113
RAILROAD MEDICARE
KY
Enumeration date
07/14/2005
Last updated
05/05/2008
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