Organization
BLUEGRASS DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORTHEA BERGMANN (PRESIDENT)
(502) 438-8356
Entity
Organization
Contact information
Practice address
4949 BROWNSBORO RD, SUITE 215, LOUISVILLE, KY 40222-6424
(502) 438-8356
Mailing address
4949 BROWNSBORO RD, SUITE 215, LOUISVILLE, KY 40222-6424
(502) 438-8356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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