NPIMap

Organization Active NPI

Vital Scan of Central Ohio

Doing business as PrevaHealth Wellness Diagnostic Center

  • Radiology Clinic/Center
  • Dublin, OH
National Provider Identifier
1114103504
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
VITAL SCAN OF CENTRAL OHIO
Doing business as
PrevaHealth Wellness Diagnostic Center
Practice address
5747 Perimeter Dr.
Ste 105
Dublin, OH 43017
Phone
(614) 652-5888
Fax
(614) 652-5890
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gillbert Gradisar, ESQ
Title
President
Phone
(614) 652-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

5747 Perimeter Dr.
Ste 105
Dublin, OH 43017

Mailing address

5747 Perimeter Dr.
Ste 105
Dublin, OH 43017
Phone (614) 652-5888

Other names 1

  • PrevaHealth Wellness Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

Locations

5747 Perimeter Dr
Ste 105
Dublin, OH 43017
Phone (614) 652-5888

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1114103504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 PERIMETER DR.",
            "address_2": "STE 105",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-652-5888",
            "fax_number": "614-652-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 PERIMETER DR.",
            "address_2": "STE 105",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-652-5888",
            "fax_number": "614-652-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SCAN OF CENTRAL OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "GRADISAR",
        "authorized_official_first_name": "GILLBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-652-5888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrevaHealth Wellness Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.