NPIMap

Organization Active NPI

Extended Care Diagnostics LLC Inc

  • Mobile Radiology Clinic/Center
  • Blue Ash, OH
National Provider Identifier
1477693265
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
EXTENDED CARE DIAGNOSTICS LLC INC
Practice address
4422 Carver Woods Dr Ste 6
Blue Ash, OH 45242-5536
Phone
(513) 891-3181
Fax
(513) 891-3934
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Steve Ganote
Title
Opertions Manager
Phone
(317) 557-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X OH Primary

Addresses

Primary practice location

4422 Carver Woods Dr Ste 6
Blue Ash, OH 45242-5536

Mailing address

4422 Carver Woods Dr Ste 6
Blue Ash, OH 45242-5536
Phone (513) 891-3181

Other identifiers 2

IdentifierTypeStateIssuer
630001723OtherOHRR MEDICARE
2161315MedicaidOH

National Provider Directory

National Provider Directory

Locations

4422 Carver Woods Dr
Ste 6
Blue Ash, OH 45242
Phone (513) 891-3181

4422 Carver Woods Dr
Ste 110
Blue Ash, OH 45242
Phone (513) 582-3230

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1477693265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 CARVER WOODS DR STE 6",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425536",
            "telephone_number": "513-891-3181",
            "fax_number": "513-891-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 CARVER WOODS DR STE 6",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425536",
            "telephone_number": "513-891-3181",
            "fax_number": "513-891-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE DIAGNOSTICS LLC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "GANOTE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OPERTIONS MANAGER",
        "authorized_official_telephone_number": "317-557-6165"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "630001723",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.