Organization
DIAGNOSTIC RADIOLOGY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAHLBRINK MD (PRESIDENT)
(937) 544-1544
Entity
Organization
Contact information
Practice address
3000 HOSPITAL DR, BATAVIA, OH 45103-1921
(513) 732-8587
Mailing address
PO BOX 711919, CINCINNATI, OH 45271-0001
(866) 286-5884
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004661
BC BS
OH
05
—
0417374
—
OH
05
—
2538285
—
OH
05
—
2538481
—
OH
01
—
CC2080
RAILROAD MEDICARE
OH
01
—
CD2623
RAILROAD MEDICARE
OH
Enumeration date
07/11/2005
Last updated
10/10/2007
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