KRM Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

KRM IMAGING LLC

Practice address

9387 S Old State Rd
Lewis Center, OH 43035-8448

Phone

(614) 785-9334

Fax

(614) 785-9375

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Steven Tidwell, MD

Title

Medical Director

Phone

(614) 785-9334

Specialties & licenses 1

Addresses

Other names 1

• Ultrasona Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1629711270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9387 S OLD STATE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358448",
            "telephone_number": "614-785-9334",
            "fax_number": "614-785-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9387 S OLD STATE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358448",
            "telephone_number": "614-785-9334",
            "fax_number": "614-785-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRM IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "614-785-9334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DICOMServer",
            "affiliation": "N",
            "endpointDescription": "sdicom server",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dcm",
            "address_1": "9387 S Old State Rd",
            "city": "Lewis Center",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430358448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ultrasona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Klaus
• Abbie Koenig
• Bernard Yaw Konadu, RN
• Evet Kostandy
• Scott G. Kravitz, PA-C
• Andrew Thomas Kronenberger, DPT
• Kathryn Elizabeth Krull, R.N, I.B.C.L.C
• Richard Kryc
• Stacey Danielle Kuhlman, M.A., CCC-SLP
• Suaad Kure, LPN

• Radiology Clinic/Center in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.