Provider Demographics
NPI:1386839751
Name:MERIDIAN IMAGING CENTER
Entity Type:Organization
Organization Name:MERIDIAN IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DISBROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-432-5438
Mailing Address - Street 1:6850 PERIMETER DR
Mailing Address - Street 2:UNIT C,
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8051
Mailing Address - Country:US
Mailing Address - Phone:614-432-5438
Mailing Address - Fax:
Practice Address - Street 1:6850 PERIMETER DR
Practice Address - Street 2:UNIT C,
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8051
Practice Address - Country:US
Practice Address - Phone:614-432-5438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Multi-Specialty
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty