# VITAL SCAN OF CENTRAL OHIO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PrevaHealth Wellness Diagnostic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114103504
- **Authorized official:** MR. GILLBERT GRADISAR ESQ (PRESIDENT)
- **Authorized official phone:** (614) 652-5888

## Contact information

- **Practice address:** 5747 PERIMETER DR., STE 105, DUBLIN, OH 43017
- **Practice address phone:** (614) 652-5888
- **Practice address fax:** (614) 652-5890
- **Mailing address:** 5747 PERIMETER DR., STE 105, DUBLIN, OH 43017
- **Mailing address phone:** (614) 652-5888
- **Mailing address fax:** (614) 652-5890

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008