STADIUM OPEN MRI LLC, Diagnostic Radiology CINCINNATI, OH

Contact Information

STADIUM OPEN MRI, LLC

6 PAYCOR STADIUM
CINCINNATI, OH 45202-3418

Phone: 513-455-4999
Fax: 513-455-4998
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Magnetic Resonance Imaging (MRI)	261QM1200X

Indicates primary specialty

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NPI Profile & details for STADIUM OPEN MRI LLC · (Female)

NPI #	`1225028335`
Status	Active
Credentials
Entity	Individual
Enumeration date	10/28/2005
Last updated	05/30/2024 - About 2 years ago
Sole proprietor ¹	Not specified
Identifiers	OH License # 0677IC IN Medicaid 200473300A KY Medicaid 86000585 OH Medicaid 2228888 OH Other 000000332753 ANTHEM PIN
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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