Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluegrass Regional Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1417110842

Bluegrass Regional Imaging LLC is a Diagnostic Radiology Physician in Lexington, Kentucky. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 Fountain Ct Ste 140
Lexington, KY 40509-1888
Phone: (859) 629-7230
Fax: (859) 629-7231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1417110842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Kostelic — Member · (859) 219-0542
NPI enumeratedJuly 7, 2008
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address651 Perimeter Dr Ste 690, Lexington, KY 40517-4356

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