OrganizationActive
Professional Park Diagnostics PLLC
NPI 1902403264 · Radiology Clinic/Center · Owensboro, KY
Provider details
- NPI number
- 1902403264
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Mattingly, Credentialing Manager(270) 852-8931
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3346 Professional Park
Suite a
Owensboro, KY 42303-4551
Phone: (270) 228-0405
Fax: (270) 852-8924
Approximate (ZIP-level) locationGet directions
Mailing address
3346 Professional Park
Owensboro, KY 42303-4551
Other names (DBA / former)
- Doing business as
- Professional Park Diagnostics PLLC, , Radiology
- Doing business as
- Professional Park Diagnostics PLLC, , Radiology
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.