Organization Name: | VIP IMAGING, PLLC |
NPI Number: | 1811152192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEAN LADSON (ADMINISTRATOR) |
Mailing Address: | 4612 Crossfield Cir Louisville |
State: | KY US |
Postal Code: | 402411425 |
Phone Number: | 5024322299 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2008 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 35827 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |