Cincinnati Pet Scan, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CINCINNATI PET SCAN, LLC

Practice address

5575 Cheviot Road
Westside CT Center
Cincinnati, OH 45247

Phone

(513) 385-8994

Fax

(513) 385-3994

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Mattes

Title

President

Phone

(513) 791-9959

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851407217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 CHEVIOT ROAD",
            "address_2": "WESTSIDE CT CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-385-8994",
            "fax_number": "513-385-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CHEVIOT ROAD",
            "address_2": "WESTSIDE CT CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-385-8994",
            "fax_number": "513-385-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI PET SCAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-791-9959"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2464051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cincinnati Pain Management Center, LLC
• Cincinnati Pain Management Consultants LTD
• Cincinnati Pain Physicians
• Cincinnati Pain Physicians LLC
• Cincinnati Pet Scan, LLC
• Cincinnati Pharmacy LLC (Cincinnati Pharmacy)
• Cincinnati Physical Therapy Inc
• Cincinnati Primary Care Associates
• Cincinnati Psychiatric Services, Inc
• Cincinnati Public Schools

• Radiology Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, 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 Aug 22, 2020; 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.