Organization
OFFICE PARK DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE MURRAY (INSURANCE MANAGER)
(859) 277-2873
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, B195, LEXINGTON, KY 40504-3751
(859) 277-2873
(859) 278-5758
Mailing address
1401 HARRODSBURG RD, B195, LEXINGTON, KY 40504-3751
(859) 277-2873
(859) 278-5758
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
160531
KY
291U00000X
Clinical Medical Laboratory
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061988
BLUE CROSS BLUE SHIELD
KY
01
—
000000073085
BLUE CROSS BLUE SHIELD
KY
05
—
37901881
—
KY
05
—
65916983
—
KY
01
—
CN1524
RAILROAD MEDICARE
KY
Enumeration date
08/20/2006
Last updated
09/26/2007
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