National Provider Identifier Database

STADIUM OPEN MRI LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

STADIUM OPEN MRI, LLC
6 PAYCOR STADIUM
CINCINNATI, OH45202-3418
Phone: 513-455-4999
Fax: 513-455-4998
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for STADIUM OPEN MRI, LLC

NPI Number 1225028335
Legal business name
LBN
STADIUM OPEN MRI, LLC
Authorized official DANIEL BARBER - (DIRECTOR, RCM)
Entity Organization
Organization subpart No
Enumeration date 10/28/2005
Last updated 05/30/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 0677IC
  • IN Medicaid: 200473300A
  • KY Medicaid: 86000585
  • OH Medicaid: 2228888
  • OH Other: 000000332753 ANTHEM PIN

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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