Organization
SOURCE DIAGNOSTICS OF KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A BARRY (COO)
(440) 645-7822
Entity
Organization
Contact information
Practice address
534 ENTERPRISE DR, ERLANGER, KY 41017-1526
(866) 512-1515
Mailing address
5275 NAIMAN PKWY, STE E, SOLON, OH 44139-1029
(440) 645-7822
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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