Provider Demographics
NPI:1508669672
Name:MASON FOUNDATION LLC
Entity type:Organization
Organization Name:MASON FOUNDATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KOSFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-629-2500
Mailing Address - Street 1:4141 W MUHAMMAD ALI BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40212-2437
Mailing Address - Country:US
Mailing Address - Phone:502-299-2362
Mailing Address - Fax:
Practice Address - Street 1:100 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1434
Practice Address - Country:US
Practice Address - Phone:502-629-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty