Provider Demographics
NPI:1518988526
Name:OPENSIDED MRI OF CINCINNATI LLC
Entity Type:Organization
Organization Name:OPENSIDED MRI OF CINCINNATI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-217-7114
Mailing Address - Street 1:2060 READING RD
Mailing Address - Street 2:STE 170
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-333-0167
Mailing Address - Fax:513-333-0178
Practice Address - Street 1:2060 READING RD
Practice Address - Street 2:STE 170
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-1454
Practice Address - Country:US
Practice Address - Phone:513-333-0167
Practice Address - Fax:513-333-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOPID00181Medicare ID - Type Unspecified