Organization
SUMMIT DIAGNOSTIC IMAGING LLC
Active
Other names
MEDICAL IMAGING ANDERSON
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA NOLL (OFFICE MANAGER)
(513) 233-3320
Entity
Organization
Contact information
Practice address
7755 5 MILE RD, CINCINNATI, OH 45230-2355
(513) 233-3320
(513) 233-3388
Mailing address
PO BOX 54512, CINCINNATI, OH 45254-0512
(513) 231-8885
(513) 231-5607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074611
ANTHEM
OH
05
—
2165017
—
OH
Enumeration date
12/17/2007
Last updated
04/20/2008
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