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1033109129 NPI number — WESTERN HILLS OPEN MRI, LLC

NPI Number: 1033109129
Health Care Provider/Practitioner: WESTERN HILLS OPEN MRI, LLC

Information about “1033109129” NPI (WESTERN HILLS OPEN MRI, LLC) exists in 1033109129 in HTML format HTML  |  1033109129 in plain Text format TXT  |  1033109129 in PDF (Portable Document Format) PDF  |  1033109129 in an XML format XML  formats.

NPI Number : 1033109129 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033109129",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WESTERN HILLS OPEN MRI, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6125 HARRISON AVE",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45247-2812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-699-5565",
    "MailingAddressFaxNumber": "513-699-5564",
    "FirstLinePracticeLocationAddress": "6125 HARRISON AVE",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45247-2812",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-699-5565",
    "PracticeLocationAddressFaxNumber": "513-699-5564",
    "EnumerationDate": "10/28/2005",
    "LastUpdateDate": "03/11/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AMAYA",
    "AuthorizedOfficialFirstName": "KAREN",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "SR DIRECTOR, CORPORATE ADMINIST.",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "513-924-5174",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "0640IC",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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