St. Elizabeth Physicians Maysville Diagnostic Center, Llc
LBN: St. Elizabeth Physicians Maysville Diagnostic Center, Llc
St. Elizabeth Physicians Maysville Diagnostic Center, Llc is an health care organization with primary practice located at 910 Kenton Station Dr Suite E, Maysville KY 41056-9613. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Radiology, Laboratories / Physiological Laboratory. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
St. Elizabeth Physicians Maysville Diagnostic Center, Llc can be contacted via phone (606) 759-0073, or through Loomis, Glenn via phone (859) 344-3737.
Contact Information
Primary practice address
910 Kenton Station Dr Suite E
Maysville KY 41056-9613
Phone: (606) 759-0073
Fax: (606) 759-0075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | ||
| Laboratories / Physiological Laboratory | 293D00000X |
Profile Details
| NPI number | 1659633774 |
|---|---|
| LBN Legal business name | St. Elizabeth Physicians Maysville Diagnostic Center, Llc |
| DBA Doing business as | |
| Authorized official | Loomis, Glenn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2012 |
| Last updated | Jan 13th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659633774 | NPPES |
| Kentucky | MEDICAID | 7100225970 |
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