OrganizationActive
Blue Grass Diagnostics
NPI 1073767737 · Diagnostic Radiology Physician · Louisville, KY
Provider details
- NPI number
- 1073767737
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Progressive Medical & Rehabilitation Group
- Organization subpart
- Yes
- Authorized official
- Linda Wagner, Billing Manager(502) 568-1100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
820 S. 6th St
Louisville, KY 40203
Phone: (502) 568-1000
Fax: (502) 736-9369
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 0907
Louisville, KY 40201-0937
Registry dates
- Enumerated
- 2008-11-07
- Last updated
- 2009-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.