Organization
CINCINNATI PET SCAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MATTES (PRESIDENT)
(513) 791-9959
Entity
Organization
Contact information
Practice address
5575 CHEVIOT ROAD, WESTSIDE CT CENTER, CINCINNATI, OH 45247
(513) 385-8994
(513) 385-3994
Mailing address
5575 CHEVIOT ROAD, WESTSIDE CT CENTER, CINCINNATI, OH 45247
(513) 385-8994
(513) 385-3994
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2464051
—
OH
Enumeration date
08/21/2006
Last updated
08/22/2020
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