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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