MEDICARE: MEDICAL IMAGING PHYSICIANS 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	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

General Provider Information

NPI Number	:	1508847922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL IMAGING PHYSICIANS INC

Provider Business Mailing Address
First Line	:	2591 MIAMISBURG CENTERVILLE RD
Second Line	:	STE. 302
City	:	DAYTON
State	:	OH
Zip	:	45459-3711
Country	:	US
Telephone Number	:	937-433-7622
Fax Number	:	937-433-7656

Provider Business Practice Location Address
First Line	:	2591 MIAMISBURG CENTERVILLE RD
Second Line	:	STE. 302
City	:	DAYTON
State	:	OH
Zip	:	45459-3711
Country	:	US
Telephone Number	:	937-433-7622
Fax Number	:	937-433-7656

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	JAMES E HAMILTON
Credential	:	CMM
Telephone Number	:	937-433-7622

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	02/07/2008

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