Tristate Img (imaging Medical Group) INC

NPI #1114927209 in Cincinnati, Ohio

Provider Information

NPI Number: 1114927209
Entity Type: Organization
Organization Name: Tristate Img (imaging Medical Group) INC
Primary Specialty: Specialist
Enumeration Date: Jul 29, 2005
Last Updated: Aug 16, 2018

Practice Location

Address: 375 DIXMYTH AVE
City: Cincinnati
State: Ohio
ZIP Code: 45220
Phone: (513) 965-8041

Authorized Official

Name: LYNN GRAY
Title: CLIENT SERVICES MANAGER
Phone: (513) 965-8041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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