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NPI Code Detail

MEDICARE: WESTERN HILLS MEDICAL IMAGING

MEDICARE: WESTERN HILLS MEDICAL IMAGING
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
12085R0202XDiagnostic Radiology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1447238431
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTERN HILLS MEDICAL IMAGING
Provider Business Mailing Address
First Line : PO BOX 932343
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0001
Country : US
Telephone Number : 513-557-3503
Fax Number :
Provider Business Practice Location Address
First Line : 3515 WERK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-6229
Country : US
Telephone Number : 513-922-5565
Fax Number : 513-922-5568
Authorized Official
Title or Position : OFFICE MANAGER
Name : DAN STEFANOU
Credential :
Telephone Number : 513-922-5565
Provider Enumeration Date : 01/09/2006
Last Update Date : 05/09/2011

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Directions to “WESTERN HILLS MEDICAL IMAGING ” Practice Location

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