# CITRAN XRAY LLC

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

## Provider details

- **NPI number:** 1235671710
- **Authorized official:** EILEEN DEAN R.N. (OWNER)
- **Authorized official phone:** (937) 864-7363

## Contact information

- **Practice address:** 7774 DAYTON SPRINGFIELD ROAD, FAIRBORN, OH 45324-1996
- **Practice address phone:** (937) 340-6488
- **Practice address fax:** (937) 340-6512
- **Mailing address:** PO BOX 339, ENON, OH 45323-0339
- **Mailing address phone:** (937) 340-6488
- **Mailing address fax:** (937) 340-6512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 10-C-18902-001 | OH | Yes |

## Other

- **Enumeration date:** 11/15/2016
- **Last updated:** 11/15/2016