Bluegrass Regional Imaging Llc

LBN: Bluegrass Regional Imaging Llc
Bluegrass Regional Imaging Llc is an health care organization with primary practice located at 211 Fountain Ct Suite 140, Lexington KY 40509-1888. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Bluegrass Regional Imaging Llc can be contacted via phone (859) 629-7230, or through Kostelic, Jon K via phone (859) 219-0542.

Contact Information

Primary practice address
211 Fountain Ct Suite 140 Lexington KY 40509-1888
Phone: (859) 629-7230
Fax: (859) 629-7231
Website:
Map and Directions
Authorized official contact:
Name: Kostelic, Jon K Doctor of Medicine (MD)
Phone: (859) 219-0542

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1417110842
LBN Legal business name Bluegrass Regional Imaging Llc
DBA Doing business as
Authorized official Kostelic, Jon K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2008
Last updated Oct 2nd, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417110842 NPPES
Kentucky Other 000000219100 ANTHEM
Kentucky MEDICAID 65935207 ANTHEM

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