KETTERING RADIOLOGIST IMAGING CENTER NPI 1720037534

NPI Information

KETTERING RADIOLOGIST IMAGING CENTER is a diagnostic radiology radiology in Kettering, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KETTERING RADIOLOGIST IMAGING CENTER NPI is 1720037534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

540 LINCOLN PARK BLVD
SUITE 100
KETTERING, OH
ZIP 45429-401
Phone: (937) 439-7861

The provider's authorized official is Ronald J Fadell .
The authorized official title is President and has the following contact phone number (937) 439-7861.

The CLIA number assigned to this NPI record is 36D2289582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 4/20/2008.

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:

Other Identifiers

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