# CINCINNATI IMAGING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104420645
- **Authorized official:** JENNIFER WALDROFF RN (INTERIM EXECUTIVE DIRECTOR/DON)
- **Authorized official phone:** (513) 572-8670

## Contact information

- **Practice address:** 644 EDEN PARK DR, CINCINNATI, OH 45202-6031
- **Practice address phone:** (513) 572-8670
- **Mailing address:** 644 EDEN PARK DR, CINCINNATI, OH 45202-6031
- **Mailing address phone:** (513) 572-8670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2020
- **Last updated:** 11/08/2022