STADIUM OPEN MRI, LLC; NPI #1225028335

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

NPI Number 1225028335

LBN Legal business name STADIUM OPEN MRI, LLC

Authorized official DANIEL BARBER - (DIRECTOR, RCM)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/28/2005

Last updated 05/30/2024 - About 2 years ago

Identifiers

OH	License #	0677IC
IN	Medicaid	200473300A
KY	Medicaid	86000585
OH	Medicaid	2228888
OH	Other	000000332753	ANTHEM PIN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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