Organization
DIAGNOSTIC X-RAY PHYSICIANS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAREN D. REPISHTI MD (PRESIDENT)
(502) 447-8786
Entity
Organization
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010390
—
IN
05
—
65919011
—
KY
01
—
CC0216
RAILROAD MEDICARE
KY
Enumeration date
12/27/2005
Last updated
09/21/2023
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