NPIMap

Organization Active NPI

Summit Diagnostics

Doing business as Medical Imaging

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1164423133
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUMMIT DIAGNOSTICS
Doing business as
Medical Imaging
Practice address
12037 Sheraton LN
Cincinnati, OH 45246-1611
Phone
(513) 965-8041
Fax
(513) 965-8091
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Lynn Gray
Title
Client Services Manager
Phone
(513) 965-8041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12037 Sheraton LN
Cincinnati, OH 45246-1611

Mailing address

PO Box 42172
Cincinnati, OH 45242-0172
Phone (513) 965-8041

Other identifiers 2

IdentifierTypeStateIssuer
2165035MedicaidOH
2165026MedicaidOH

Other names 1

  • MEDICAL IMAGING Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1164423133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42172",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452420172",
            "telephone_number": "513-965-8041",
            "fax_number": "513-965-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12037 SHERATON LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461611",
            "telephone_number": "513-965-8041",
            "fax_number": "513-965-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CLIENT SERVICES MANAGER",
        "authorized_official_telephone_number": "513-965-8041"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165035",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.