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General NPI Number Information
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NPI Number | 1811152192
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Entity Type | Organization
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Legal Business Name | VIP IMAGING, PLLC
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1850 BLUEGRASS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1161
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Country | US
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Telephone | 655-847-3768
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 HOUSTON LN
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City | PEWEE VALLEY
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State | KY
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Zip | 40056-9018
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Country | US
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Telephone | 865-584-7376
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. SEAN LADSON
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Credential | M.D.
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Telephone | 502-432-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 35827
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 35827
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35827
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License Number State | KY
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