NPIMap

Organization Active NPI

Tri State Diagnostic Services , Inc

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1609825652
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRI STATE DIAGNOSTIC SERVICES , INC
Practice address
2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone
(513) 853-5000
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
James Kennealy, MD
Title
MD: Authorized Signatory
Phone
(513) 451-1930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2446 Kipling Ave
Cincinnati, OH 45239-6650

Mailing address

PO Box 932321
Cleveland, OH 44193-0001
Phone (513) 853-5000

Other identifiers 2

IdentifierTypeStateIssuer
0918654MedicaidOH
0922283MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1609825652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932321",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "513-853-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 KIPLING AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396650",
            "telephone_number": "513-853-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE DIAGNOSTIC SERVICES , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "KENNEALY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MD: AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "513-451-1930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918654",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 19, 2011; 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.