FAIRFIELD DIAGNOSTIC IMAGING LLC NPI 1063472884

NPI Information

NPI: 1063472884
Provider Name: FAIRFIELD DIAGNOSTIC IMAGING, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1241 RIVER VALLEY BLVD
LANCASTER, OH
ZIP 43130
Phone: (740) 654-6312
Get Directions

FAIRFIELD DIAGNOSTIC IMAGING, LLC is a diagnostic radiology radiology in Lancaster, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FAIRFIELD DIAGNOSTIC IMAGING, LLC NPI is 1063472884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1241 RIVER VALLEY BLVD
LANCASTER, OH
ZIP 43130-653
Phone: (740) 654-6312

The provider's authorized official is Mark Antal .
The authorized official title is Practice / Business Manager and has the following contact phone number (740) 654-6312.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000162681	OTHER	OHIO	ANTHEM BCBS
2	=========002	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
3	CI3266	OTHER	OHIO	RAILROAD MEDICARE
4	124621800	OTHER		DEPT OF LABOR--FECA
5	2064779	MEDICAID	OHIO
6	=========-00	OTHER	OHIO	BUREAU OF WORKERS COMP
7	9295441	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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