Provider Demographics
NPI:1396019352
Name:INSTANT HEALTH LLC
Entity Type:Organization
Organization Name:INSTANT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-667-0692
Mailing Address - Street 1:1006 NEW MOODY LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-9122
Mailing Address - Country:US
Mailing Address - Phone:502-667-0692
Mailing Address - Fax:
Practice Address - Street 1:313 W MADISON ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-1431
Practice Address - Country:US
Practice Address - Phone:502-667-0692
Practice Address - Fax:502-225-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology