MEDICARE: BTX KOI INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	K200140	KY
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	H444850	OH
3	293D00000X	Physiological Laboratory

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H444850	OTHER	OH	MEDICARE PTAN
2	MI19984	OTHER	MI	MEDICARE PTAN
3	IN3852	OTHER	IN	MEDICARE PTAN
4	K200140	OTHER	KY	MEDICARE PTAN

General Provider Information

NPI Number	:	1245696731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BTX KOI INC

Provider Business Mailing Address
First Line	:	1065 EXECUTIVE PARKWAY DR STE 220
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6367
Country	:	US
Telephone Number	:	314-440-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	6802 MENZ LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-4311
Country	:	US
Telephone Number	:	513-741-1600
Fax Number	:	513-741-0960

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. TAMARA BISHOP SCHWARTZ
Credential	:	MBA
Telephone Number	:	314-440-1770

Provider Enumeration Date	:	01/13/2016
Last Update Date	:	01/20/2026

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Directions to “BTX KOI INC ” Practice Location

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