EXTENDED CARE DIAGNOSTICS LLC INC NPI 1477693265

NPI Information

NPI: 1477693265
Provider Name: EXTENDED CARE DIAGNOSTICS LLC INC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
4422 CARVER WOODS DR STE 6
BLUE ASH, OH
ZIP 45242
Phone: (513) 891-3181
Get Directions

EXTENDED CARE DIAGNOSTICS LLC INC is a radiology and mobile clinic center in Blue Ash, OH. EXTENDED CARE DIAGNOSTICS LLC INC NPI is 1477693265. The provider is registered as an organization entity type.

The provider's business location address is:

4422 CARVER WOODS DR STE 6
BLUE ASH, OH
ZIP 45242-536
Phone: (513) 891-3181
Fax: (513) 891-3934

The provider's authorized official is Steve Ganote .
The authorized official title is Opertions Manager and has the following contact phone number (317) 557-6165.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 2/14/2012.

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	261QR0208X	Clinic/Center	Radiology, Mobile		OHIO	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	2161315	MEDICAID	OHIO
2	630001723	OTHER	OHIO	RR MEDICARE
3	3698611	MEDICARE ID-TYPE UNSPECIFIED	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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