EVENDALE ANCILLARY SERVICES LLC NPI 1649318643

NPI Information

NPI: 1649318643
Provider Name: EVENDALE ANCILLARY SERVICES, LLC

Doing Business As: EVENDALE IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3147 GLENDALE MILFORD ROAD
CINCINNATI, OH
ZIP 45241
Phone: (513) 247-8800
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EVENDALE ANCILLARY SERVICES, LLC is a radiology clinic center in Cincinnati, OH. EVENDALE ANCILLARY SERVICES, LLC NPI is 1649318643. The provider is registered as an organization entity type.
The provider Is Doing Business As Evendale Imaging Center.

The provider's business location address is:

3147 GLENDALE MILFORD ROAD
CINCINNATI, OH
ZIP 45241
Phone: (513) 247-8800
Fax: (513) 247-8805

The provider's authorized official is Kelvin G Hanger .
The authorized official title is Campus Administrator and has the following contact phone number (513) 247-8800.

The CLIA number assigned to this NPI record is 36D0910906 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 2/16/2011.

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	261QR0200X	Clinic/Center	Radiology			Yes

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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