Provider Demographics
NPI:1891749289
Name:TAYLOR COUNTY RADIOLOGY, PSC
Entity Type:Organization
Organization Name:TAYLOR COUNTY RADIOLOGY, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-646-4741
Mailing Address - Street 1:103 WIND HAVEN DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8025
Mailing Address - Country:US
Mailing Address - Phone:800-282-9221
Mailing Address - Fax:859-223-2732
Practice Address - Street 1:1700 OLD LEBANON RD
Practice Address - Street 2:TAYLOR COUNTY HOSPITAL
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-9662
Practice Address - Country:US
Practice Address - Phone:800-282-9221
Practice Address - Fax:859-223-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY29433174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty