VANGUARD IMAGING PARTNERS LLC NPI 1770742728

NPI Information

NPI: 1770742728
Provider Name: VANGUARD IMAGING PARTNERS LLC

Other Name: KETTERING MOBILE LOCATION

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
1525 E STROOP RD
DAYTON, OH
ZIP 45429
Phone: (937) 208-7411
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VANGUARD IMAGING PARTNERS LLC is a magnetic resonance imaging (mri) clinic center in Dayton, OH. VANGUARD IMAGING PARTNERS LLC NPI is 1770742728. The provider is registered as an organization entity type.
The provider Other Name Is Kettering Mobile Location.

The provider's business location address is:

1525 E STROOP RD
DAYTON, OH
ZIP 45429-065
Phone: (937) 208-7411

The provider's authorized official is Scott A Buchanan .
The authorized official title is Controller and has the following contact phone number (937) 208-9679.

The CLIA number assigned to this NPI record is 36D1106896 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			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	ID02858	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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