Tristate Img (Imaging Medical Group) Inc

LBN: Tristate Img (Imaging Medical Group) Inc
Tristate Img (Imaging Medical Group) Inc is an health care organization with primary practice located at 375 Dixmyth Ave , Cincinnati OH 45220. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Tristate Img (Imaging Medical Group) Inc can be contacted via phone (513) 965-8041, or through Gray, Lynn via phone (513) 965-8041.

Contact Information

Primary practice address
375 Dixmyth Ave Cincinnati OH 45220
Phone: (513) 965-8041
Fax: (513) 965-8091
Website:
Map and Directions
Authorized official contact:
Name: Gray, Lynn
Phone: (513) 965-8041

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1114927209
LBN Legal business name Tristate Img (Imaging Medical Group) Inc
DBA Doing business as
Authorized official Gray, Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Aug 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114927209 NPPES
Ohio MEDICAID 0318981
Ohio MEDICAID 100002830A
Ohio MEDICAID 65920043

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