# EVENDALE ANCILLARY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evendale Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649318643
- **Authorized official:** KELVIN G HANGER (CAMPUS ADMINISTRATOR)
- **Authorized official phone:** (513) 247-8800

## Contact information

- **Practice address:** 3147 GLENDALE MILFORD ROAD, CINCINNATI, OH 45241
- **Practice address phone:** (513) 247-8800
- **Practice address fax:** (513) 247-8805
- **Mailing address:** 3147 GLENDALE MILFORD ROAD, CINCINNATI, OH 45241
- **Mailing address phone:** (513) 247-8800
- **Mailing address fax:** (513) 247-8805

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 02/16/2011