# DEACONESS DIAGNOSTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE DEACONESS ASSOCIATION, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497049191
- **Legal business name:** THE DEACONESS ASSOCIATION, INC.
- **Authorized official:** MR. PATRICK J WARD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (513) 559-2664

## Contact information

- **Practice address:** 311 STRAIGHT ST, CINCINNATI, OH 45219-1018
- **Practice address phone:** (513) 559-2100
- **Practice address fax:** (513) 475-5253
- **Mailing address:** 311 STRAIGHT ST, CINCINNATI, OH 45219-1018
- **Mailing address phone:** (513) 559-2100
- **Mailing address fax:** (513) 475-5253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | 10-E-16892-001 | OH | Yes |

## Other

- **Enumeration date:** 05/31/2011
- **Last updated:** 05/31/2011