Organization Active NPI

Usd Dayton, Inc.

Doing business as Dayton Medical Imaging Centerville South

  • Radiology Clinic/Center
  • Dayton, OH
National Provider Identifier
1154308476
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
1052IC Issued in OH
Legal business name
USD DAYTON, INC.
Doing business as
Dayton Medical Imaging Centerville South
Practice address
7901 Schatz Pointe Dr
Dayton, OH 45459-3856
Phone
(937) 439-0390
Fax
(937) 439-7370
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Gary Wright
Title
President and Ceo
Phone
(813) 675-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 1052IC OH Primary

Addresses

Primary practice location

7901 Schatz Pointe Dr
Dayton, OH 45459-3856

Mailing address

PO Box 292921
Tampa, FL 33687-2921
Phone (813) 675-2498

Other identifiers 1

IdentifierTypeStateIssuer
0787091MedicaidOH

Other names 1

  • Dayton Medical Imaging Centerville South Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1154308476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292921",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336872921",
            "telephone_number": "813-675-2498",
            "fax_number": "813-971-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593856",
            "telephone_number": "937-439-0390",
            "fax_number": "937-439-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USD DAYTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-675-2600"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OH",
            "license": "1052IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0787091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Medical Imaging Centerville South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.