Diagnostic Imaging Alliance of Louisville PSC
NPI 1396765509ActiveOrganization· Radiology, Diagnostic Radiology· Louisville, KY
Radiology, Diagnostic Radiology in Louisville, Kentucky, registered in NPPES in July 2006. The authorized official on file is Durrett Craddock, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1396765509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Oct 28, 2026 |
| Certified by provider | Oct 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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