Organization
RIVER CITY ORTHOPAEDIC SURGEONS PSC
Active
Parent organization
RIVER CITY ORTHOPAEDIC SURGEONS PSC
Other names
Stonestreet Medical Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVER CITY ORTHOPAEDIC SURGEONS PSC
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
9300 STONESTREET RD, STE 100, LOUISVILLE, KY 40272-2876
(502) 271-4150
(502) 933-1024
Mailing address
9300 STONESTREET RD, STE 100, LOUISVILLE, KY 40272-2876
(502) 271-4150
(502) 933-1024
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65922528
—
KY
Enumeration date
05/27/2005
Last updated
01/07/2009
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