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DAYTON INTERVENTIONAL RADIOLOGY LLC NPI 1316923915


NPI Information

NPI: 1316923915
Provider Name: DAYTON INTERVENTIONAL RADIOLOGY LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 36D1056803

Address:
3075 GOVERNORS PLACE BLVD
KETTERING, OH
ZIP 45409
Phone: (937) 765-3113
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DAYTON INTERVENTIONAL RADIOLOGY LLC is a vascular and interventional radiology radiology in Kettering, OH. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DAYTON INTERVENTIONAL RADIOLOGY LLC NPI is 1316923915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3075 GOVERNORS PLACE BLVD
KETTERING, OH
ZIP 45409-323
Phone: (937) 765-3113

The provider's authorized official is Gregg Miller .
The authorized official title is Sr. Vice President and has the following contact phone number (610) 644-8900.

The CLIA number assigned to this NPI record is 36D1056803 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 10/13/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery36.003246OHIONo
22085R0204XRadiologyVascular & Interventional RadiologyYes

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

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