Organization
GLENWAY IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN GRAY (CLIENT SERVICES MANAGER)
(513) 965-8041
Entity
Organization
Contact information
Practice address
6350 GLENWAY AVE, STE 102, CINCINNATI, OH 45211-6378
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 42471, CINCINNATI, OH 45242-0471
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2218362
—
OH
05
—
65940751
—
KY
Enumeration date
08/02/2005
Last updated
02/21/2008
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