Provider Demographics
NPI:1952935041
Name:GND RADIOLOGY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:GND RADIOLOGY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MIELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-298-6661
Mailing Address - Street 1:PO BOX 58580
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40268-0580
Mailing Address - Country:US
Mailing Address - Phone:502-276-1409
Mailing Address - Fax:502-690-6159
Practice Address - Street 1:6801 DIXIE HWY STE 238
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3961
Practice Address - Country:US
Practice Address - Phone:502-276-1409
Practice Address - Fax:502-690-6159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology