Organization
PERCEPTION PLUS IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA PETTY (OWNER)
(502) 314-1050
Entity
Organization
Contact information
Practice address
1926 MEADOWCREEK DRIVE, LOUISVILLE, KY 40218-2451
(502) 314-1050
Mailing address
1926 MEADOWCREEK DR, LOUISVILLE, KY 40218-2451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
07/19/2017
Last updated
07/19/2017
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