Healthcare Provider Details

I. General information

NPI: 1760447924
Provider Name (Legal Business Name): DUBLIN DIAGNOSTIC IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6760 AVERY MUIRFIELD DR SUITE B
DUBLIN OH
43017-1232
US

IV. Provider business mailing address

5400 KENNEDY AVE
CINCINNATI OH
45213-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-761-2100
  • Fax: 614-761-2186
Mailing address:
  • Phone: 513-281-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN E AMAYA
Title or Position: SENIOR DIRECTOR, CORP. ADMIN
Credential:
Phone: 513-924-5174