Organization
DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC
Active
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
Update your record
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