# EXTENDED CARE DIAGNOSTICS LLC INC

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

## Provider details

- **NPI number:** 1477693265
- **Authorized official:** STEVE GANOTE (OPERTIONS MANAGER)
- **Authorized official phone:** (317) 557-6165

## Contact information

- **Practice address:** 4422 CARVER WOODS DR STE 6, BLUE ASH, OH 45242-5536
- **Practice address phone:** (513) 891-3181
- **Practice address fax:** (513) 891-3934
- **Mailing address:** 4422 CARVER WOODS DR STE 6, BLUE ASH, OH 45242-5536
- **Mailing address phone:** (513) 891-3181
- **Mailing address fax:** (513) 891-3934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | OH | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 02/14/2012
