Organization
PROFESSIONAL RADIOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M MERCHANT (CFO)
(513) 527-0403
Entity
Organization
Contact information
Practice address
9825 KENWOOD RD, SUITE 105, BLUE ASH, OH 45242-6251
(513) 872-4500
(513) 872-4518
Mailing address
9825 KENWOOD RD, SUITE 105, BLUE ASH, OH 45242-6251
(513) 872-4500
(513) 872-4518
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
316204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395095
—
OH
05
—
10002350A
—
IN
05
—
10002350B
—
IN
05
—
10002350F
—
IN
05
—
10002350H
—
IN
05
—
65916447
—
KY
Enumeration date
03/01/2007
Last updated
03/07/2023
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