Organization
DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURRETT CRADDOCK MD (PRESIDENT)
(502) 629-7601
Entity
Organization
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-7601
(502) 629-7649
Mailing address
234 E GRAY ST STE 850, LOUISVILLE, KY 40202-1901
(502) 585-1735
(502) 583-1463
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65922841
—
KY
Enumeration date
07/20/2006
Last updated
02/19/2026
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