Organization
HEARTLAND DIAGNOSTICS, LLC
Active
Other names
Heartland Imaging Elizabethtown, Woodland Drive
Organization subpart
No
Provider details
NPI number
Authorized official
AMY STOUT (PRESIDENT/CEO)
(615) 261-2306
Entity
Organization
Contact information
Practice address
1111 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-3700
(270) 765-3704
Mailing address
800 CRESCENT CENTRE DR STE 400, FRANKLIN, TN 37067-7270
(615) 261-2306
(855) 588-3545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100330440
—
KY
Enumeration date
05/24/2005
Last updated
12/16/2025
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