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IMAGING RESOURCE CENTERS LTD NPI 1003855909


NPI Information

NPI: 1003855909
Provider Name: IMAGING RESOURCE CENTERS LTD
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
2991 NEWMARK DR
MIAMISBURG, OH
ZIP 45342
Phone: (937) 885-5840
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IMAGING RESOURCE CENTERS LTD is a radiology and mobile clinic center in Miamisburg, OH. IMAGING RESOURCE CENTERS LTD NPI is 1003855909. The provider is registered as an organization entity type.

The provider's business location address is:

2991 NEWMARK DR
MIAMISBURG, OH
ZIP 45342-416
Phone: (937) 885-5840
Fax: (937) 885-5863

The provider's authorized official is Charles Ed Young .
The authorized official title is Owner/ceo and has the following contact phone number (937) 748-1514.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 11/28/2011.


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
1261QR0208XClinic/CenterRadiology, Mobile06-E-04159-01OHIOYes

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
1214830MEDICARE ID-TYPE UNSPECIFIEDINDIANA
29370201MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
3200479060AMEDICAIDINDIANA
42067534MEDICAIDOHIO
5ID00251MEDICARE ID-TYPE UNSPECIFIEDOHIO
6200309MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 5/5/2024

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