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SOURCE DIAGNOSTICS OF KENTUCKY, LLC
NPI 1629339171
Clinic/Center - Radiology, Mobile in Erlanger, KY

Active since May 31, 2012
534 ENTERPRISE DR, ERLANGER, KY 41017(866) 512-1515 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Source Diagnostics Of Kentucky, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE DIAGNOSTICS OF KENTUCKY, LLC (NPI 1629339171) is a healthcare organization registered as a radiology, mobile in Erlanger, Kentucky and active in the NPI registry since May 2012. The organization lists Kathleen A Barry, Coo, as its authorized official.

NPPES Registry Identity

NPI1629339171
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NameSOURCE DIAGNOSTICS OF KENTUCKY, LLC
Location Address534 ENTERPRISE DRErlanger, KY 41017-1526
Mailing Address5275 Naiman Pkwy, Ste ESolon, OH 44139-1029 · (440) 645-7822
Phone(866) 512-1515
Organization SubpartNo
Authorized OfficialKathleen A BarryCoo · (440) 645-7822
Enumeration DateMay 31, 2012
✔ NPI 1629339171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
534 ENTERPRISE DR, Erlanger, KY 41017
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOURCE DIAGNOSTICSOF KENTUCKY, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
534 ENTERPRISE DR
ERLANGER, KY 41017
Kenton County (866) 512-1515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Source Diagnostics Of Kentucky, LLC's NPI number?

The NPI number for Source Diagnostics Of Kentucky, LLC is 1629339171. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Source Diagnostics Of Kentucky, LLC located?

Source Diagnostics Of Kentucky, LLC is located at 534 Enterprise Dr, Erlanger, KY 41017. The listed phone number is (866) 512-1515.

What is Source Diagnostics Of Kentucky, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

When was this NPI record last updated?

The NPPES record for Source Diagnostics Of Kentucky, LLC was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.