NPIMap

Organization Active NPI

Glenway Imaging LLC

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1942201926
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GLENWAY IMAGING LLC
Practice address
6350 Glenway Ave
Ste 102
Cincinnati, OH 45211-6378
Phone
(513) 965-8041
Fax
(513) 965-8091
NPI assigned
Aug 2, 2005
Last updated
Feb 21, 2008By the provider in NPPES
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
Specialist 174400000X Primary

Addresses

Primary practice location

6350 Glenway Ave
Ste 102
Cincinnati, OH 45211-6378

Mailing address

PO Box 42471
Cincinnati, OH 45242-0471
Phone (513) 965-8041

Other identifiers 2

IdentifierTypeStateIssuer
2218362MedicaidOH
65940751MedicaidKY

National Provider Directory

National Provider Directory

Locations

6350 Glenway Ave
Ste 102
Cincinnati, OH 45211
Phone (513) 671-3320

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1942201926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42471",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452420471",
            "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": "6350 GLENWAY AVE",
            "address_2": "STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-965-8041",
            "fax_number": "513-965-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWAY IMAGING LLC",
        "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": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218362",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65940751",
            "state": "KY"
        }
    ],
    "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 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.