Organization
USD DAYTON, INC.
Active
Other names
Dayton Medical Imaging Englewood
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WRIGHT (PRESIDENT AND CEO)
(813) 675-2600
Entity
Organization
Contact information
Practice address
1001 S MAIN ST, ENGLEWOOD, OH 45322-2818
(937) 836-9729
(937) 836-5721
Mailing address
PO BOX 292921, TAMPA, FL 33687-2921
(813) 675-2498
(813) 971-0818
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
1053IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787091
—
OH
Enumeration date
12/28/2005
Last updated
02/29/2008
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