Provider Demographics
NPI:1306083779
Name:DIAGNOSTIC IMAGING SERVICES INC.
Entity type:Organization
Organization Name:DIAGNOSTIC IMAGING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:P
Authorized Official - Last Name:HUTH
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:513-451-1500
Mailing Address - Street 1:PO BOX 58261
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45258-0261
Mailing Address - Country:US
Mailing Address - Phone:513-451-1500
Mailing Address - Fax:513-451-9729
Practice Address - Street 1:313 KATIEBUD DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-5107
Practice Address - Country:US
Practice Address - Phone:513-451-1500
Practice Address - Fax:513-451-9729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile