EXTENDED CARE DIAGNOSTICS LLC INC


Address: 4422 Carver Woods Dr Ste 6, Blue Ash, OH 45242-5536
Phone: 5138913181

EXTENDED CARE DIAGNOSTICS LLC INC (NPI# 1477693265) 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) 1477693265
Entity Type Organization
Organization Name EXTENDED CARE DIAGNOSTICS LLC INC
Practice Address 4422 Carver Woods Dr Ste 6
Blue Ash
OH 45242-5536
Practice Telephone 5138913181
Practice Fax Number 5138913934
Mailing Telephone 5138913181
Mailing Fax Number 5138913934
Enumeration Date 2007-02-08
Last Update Date 2012-02-14
Authorized Official Name STEVE GANOTE (OPERTIONS MANAGER)
Authorized Official Telephone 3175576165
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 2161315 05
OH RR MEDICARE 630001723 01

Office Location

Street Address 4422 CARVER WOODS DR STE 6
City BLUE ASH
State OH
Zip Code 45242-5536

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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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1457354318 Shared Pet Imaging LLC Clinic/Center 1341 Clark St, Cambridge, OH 43725 2005-05-24
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Competitor

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City BLUE ASH
Zip Code 45242

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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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