MEDICARE: UNIVERSITY RADIOLOGY ASSOCIATES OF CINCINNATI, 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	207U00000X	Nuclear Medicine Physician
2	207UN0903X	In Vivo & In Vitro Nuclear Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician	35-043613	OH
4	2085R0001X	Radiation Oncology Physician
5	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437120599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY RADIOLOGY ASSOCIATES OF CINCINNATI, INC.

Provider Business Mailing Address
First Line	:	2830 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1785
Country	:	US
Telephone Number	:	513-245-3617
Fax Number	:	513-475-7259

Provider Business Practice Location Address
First Line	:	234 GOODMAN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-1000
Country	:	US
Telephone Number	:	513-584-4391
Fax Number	:	513-584-0431

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LISA HUNT
Credential	:
Telephone Number	:	513-245-3663

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	03/25/2010

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