Healthcare Provider Details

I. General information

NPI: 1366906877
Provider Name (Legal Business Name): DIAGNOSTIC SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2019
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 LINCOLN PARK RD
SPRINGFIELD KY
40069-9573
US

IV. Provider business mailing address

PO BOX 128
SPRINGFIELD KY
40069-0128
US

V. Phone/Fax

Practice location:
  • Phone: 859-481-5830
  • Fax: 859-481-9004
Mailing address:
  • Phone: 859-481-5830
  • Fax: 859-481-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANA CONNOR-ISRAEL
Title or Position: BUSINESS MANAGER/OWNER
Credential:
Phone: 859-481-5830