Organization
LOUISVILLE MRI MANAGEMENT LLC
Active
Organization
LOUISVILLE MRI MANAGEMENT LLC
Active
Other names
Louisville Imaging Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
445 E MARKET ST, STE 100, LOUISVILLE, KY 40202-1112
(502) 568-5850
(502) 568-5854
Mailing address
445 E MARKET ST, STE 100, LOUISVILLE, KY 40202-1112
(502) 568-5850
(502) 568-5854
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86000296
—
KY
Enumeration date
05/24/2005
Last updated
06/12/2008
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