Organization
VANGUARD IMAGING PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH L BRYWCZYNSKI (PRESIDENT AND CEO)
(937) 208-9676
Entity
Organization
Contact information
Practice address
2619 COMMONS BLVD, BEAVERCREEK, OH 45431-3817
(937) 306-1463
Mailing address
PO BOX 635500, CINCINNATI, OH 45263-0001
(937) 306-1463
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
1252IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696257
—
OH
01
—
P00437849
RAILROAD MEDICARE
OH
Enumeration date
07/09/2006
Last updated
04/01/2008
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