CITRAN XRAY LLC


Address: 7774 Dayton Springfield Road, Fairborn, OH 45324-1996
Phone: 9373406488

CITRAN XRAY LLC (NPI# 1235671710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235671710
Entity Type Organization
Organization Name CITRAN XRAY LLC
Practice Address 7774 Dayton Springfield Road
Fairborn
OH 45324-1996
Mailing Address Po Box 339
Enon
OH 45323-0339
Practice Telephone 9373406488
Practice Fax Number 9373406512
Mailing Telephone 9373406488
Mailing Fax Number 9373406512
Enumeration Date 2016-11-15
Last Update Date 2016-11-15
Authorized Official Name EILEEN DEAN (OWNER)
Authorized Official Telephone 9378647363
Authorized Official Credential R.N.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
10-C-18902-001 OH Ambulatory Health Care Facilities

Office Location

Street Address 7774 DAYTON SPRINGFIELD ROAD
City FAIRBORN
State OH
Zip Code 45324-1996

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City FAIRBORN
Zip Code 45324

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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