Organization Name: | PROFESSIONAL RADIOLOGY INC. |
NPI Number: | 1043348014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH R HUDEPOHL (COO) |
Mailing Address: | 9825 Kenwood Rd Suite 105 Blue Ash |
State: | OH US |
Postal Code: | 452426251 |
Phone Number: | 5138724500 |
Fax Number: | 5138724518 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 316204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |