Organization
CHILDREN'S RADIOLOGICAL INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK MILLER (PRESIDENT AND COO)
(614) 722-2259
Entity
Organization
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2353
(614) 722-2332
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161757
—
OH
01
—
9277861
CGS - MEDICARE
OH
Enumeration date
07/01/2006
Last updated
09/06/2023
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