Provider Demographics
NPI:1053475467
Name:DIAGNOSTIC IMAGING CONSULTANTS INC
Entity Type:Organization
Organization Name:DIAGNOSTIC IMAGING CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC DACBR
Authorized Official - Phone:513-489-0055
Mailing Address - Street 1:3296 W STATE ROUTE 22 3
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9935
Mailing Address - Country:US
Mailing Address - Phone:513-489-0055
Mailing Address - Fax:513-489-4587
Practice Address - Street 1:3296 W STATE ROUTE 22 3
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-1003
Practice Address - Country:US
Practice Address - Phone:513-489-0055
Practice Address - Fax:513-489-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1876111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9348591Medicare PIN