Organization
IDEAL IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX ALBERT OLASH JR. M.D. (MEDICAL DIRECTOR)
(502) 897-1776
Entity
Organization
Contact information
Practice address
3604 SPRINGHURST BLVD, LOUISVILLE, KY 40241-4142
(502) 425-3001
Mailing address
3604 SPRINGHURST BLVD, LOUISVILLE, KY 40241-4142
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3006727
KY
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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