Organization
MEDICENTER OPEN MRI 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
10550 MONTGOMERY RD, CINCINNATI, OH 45242-4498
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 428703, CINCINNATI, OH 45242-8703
(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
—
2085925
—
OH
05
—
65938961
—
KY
Enumeration date
08/02/2005
Last updated
02/21/2008
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