Healthcare Provider Details

I. General information

NPI: 1902887987
Provider Name (Legal Business Name): COMPREHENSIVE IMAGING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10567 SAWMILL PKWY SUITE 100
POWELL OH
43065-6672
US

IV. Provider business mailing address

PO BOX 635051
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 614-717-9840
  • Fax:
Mailing address:
  • Phone: 866-494-8262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: KIRK REINITZ
Title or Position: PRESIDENT
Credential:
Phone: 614-210-1885