Healthcare Provider Details

I. General information

NPI: 1366604274
Provider Name (Legal Business Name): UNIVERSITY RADIOLOGY ASSOCIATES OF CINCINNATI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 UNIVERSITY CT
WEST CHESTER OH
45069-6542
US

IV. Provider business mailing address

2830 VICTORY PKWY
CINCINNATI OH
45206-1785
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8000
  • Fax: 513-245-3607
Mailing address:
  • Phone: 513-245-3617
  • Fax: 513-245-3607

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: JOSEPH FODOR
Title or Position: PRESIDENT
Credential:
Phone: 513-245-3617