Gustav A Blomquist in Lexington - Diagnostic Radiology

Gustav A Blomquist - NPI 1710104484

Gustav A Blomquist is a Diagnostic Radiology in Lexington, Kentucky. Gustav A Blomquist practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Gustav A Blomquist is 1710104484. The last update date is 2015-08-07.

Gustav A Blomquist's current location address is 800 Rose St, Lexington, Kentucky. You can contact this provider via phone number 8593232411. The mailing address for Gustav A Blomquist is 800 Rose St, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Gustav A Blomquist
Address 800 Rose St, Lexington, Kentucky
Phone Number 8593232411
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1710104484
Provider Enumeration Date 2007-04-20
Last Updated Date 2015-08-07

Provider Mailing Address Detail

Address 800 Rose St
City Lexington
State Kentucky (KY)
Post Code 405360001
Phone Number 8593232411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No M6052
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7100126970 KY --

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FAQs about Gustav A Blomquist

What is the unique 10-digit identification code issued to Gustav A Blomquist by the Centers for Medicare & Medicaid Services?

The Gustav A Blomquist has been assigned the NPI (National Provider Identifier) 1710104484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Gustav A Blomquist?

The Gustav A Blomquist is physically situated at 800 Rose St, in the city of Lexington, state of KY, with the postal code 405360001.

What is Gustav A Blomquist's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gustav A Blomquist's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710104484 to Gustav A Blomquist?

The Centers for Medicare & Medicaid Services originally issued the 1710104484 to Gustav A Blomquist on 2007-04-20.

As of what date were the details related to Gustav A Blomquist most recently updated or revised?

The information pertaining to Gustav A Blomquist, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-07.

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