Provider Demographics
NPI:1477502060
Name:HIGH FIELD OPEN MRI OF CINCINNATI LLC
Entity Type:Organization
Organization Name:HIGH FIELD OPEN MRI OF CINCINNATI LLC
Other - Org Name:BLUE ASH IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:KYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-550-6009
Mailing Address - Street 1:840 CRESCENT CENTRE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4626
Mailing Address - Country:US
Mailing Address - Phone:615-550-6009
Mailing Address - Fax:615-550-6004
Practice Address - Street 1:4832 COOPER RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6944
Practice Address - Country:US
Practice Address - Phone:513-793-7674
Practice Address - Fax:513-793-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000306210OtherANTHEM BLUE CROSS
OH2440504Medicaid
OH2440504Medicaid