Provider Demographics
NPI:1356669071
Name:THOROUGHBRED CARDIOLOGY, LLC
Entity Type:Organization
Organization Name:THOROUGHBRED CARDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GROVER
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:TUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-226-5360
Mailing Address - Street 1:PO BOX 1820
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40602-1820
Mailing Address - Country:US
Mailing Address - Phone:502-226-3858
Mailing Address - Fax:502-223-9829
Practice Address - Street 1:108 DIAGNOSTIC DR
Practice Address - Street 2:SUITE A
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-6556
Practice Address - Country:US
Practice Address - Phone:502-226-5360
Practice Address - Fax:502-223-9829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty