MEDICARE: LEXINGTON RADIATION THERAPY CENTER, P.S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0203X	Radiation Oncology Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA5414	OTHER	KY	RR MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255426334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON RADIATION THERAPY CENTER, P.S.C.

Provider Business Mailing Address
First Line	:	1221 S BROADWAY
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-2701
Country	:	US
Telephone Number	:	859-258-6200
Fax Number	:	859-258-6203

Provider Business Practice Location Address
First Line	:	1401 HARRODSBURG RD
Second Line	:	SUITE A-100
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3751
Country	:	US
Telephone Number	:	859-258-6505
Fax Number	:	859-258-6509

Authorized Official
Title or Position	:	CFO
Name	:	JASON LADD
Credential	:
Telephone Number	:	859-258-4116

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/07/2026

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Directions to “LEXINGTON RADIATION THERAPY CENTER, P.S.C. ” Practice Location

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