Providence Medical Group, Inc
Providence Medical Group, Inc provides Diagnostic Radiology Physician services in Moraine, Ohio. Licensed in Ohio. Registered with an NPI since 2016.
- Licensed in
- OH
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2912 Springboro Rd Ste 201Moraine, OH 45439-1674 Not confirmed with CMS for 10 years — call before visiting
Phone: (937) 396-8137
Fax: (937) 297-4868
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X (OH) |
|---|
Record details
| NPI number | 1659726768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Becker — Chief Operating Officer · (937) 297-8999 |
| Other names | Pmg Vascular Imaging |
| NPI enumerated | April 26, 2016 |
| Last updated in NPPES | April 26, 2016 |
| Mailing address | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 |