Organization
BLUE GRASS DIAGNOSTICS
Active
Organization
BLUE GRASS DIAGNOSTICS
Active
Parent organization
PROGRESSIVE MEDICAL & REHABILITATION GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE MEDICAL & REHABILITATION GROUP
Authorized official
MS. LINDA WAGNER (BILLING MANAGER)
(502) 568-1100
Entity
Organization
Contact information
Practice address
820 S. 6TH ST, LOUISVILLE, KY 40203
(502) 568-1000
(502) 736-9369
Mailing address
P.O. BOX 0907, LOUISVILLE, KY 40201-0937
(502) 568-1000
(502) 736-9369
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/07/2008
Last updated
01/09/2009
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