PREVAHEALTH WELLNESS DIAGNOSTIC CENTER
NPI 1114103504
Clinic/Center - Radiology in Dublin, OH

Active since January 15, 2008
5747 PERIMETER DR., STE 105, DUBLIN, OH 43017(614) 652-5888(614) 652-5890 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Radiology

About PREVAHEALTH WELLNESS DIAGNOSTIC CENTER

This page provides the complete NPI Profile along with additional information for Prevahealth Wellness Diagnostic Center, a provider established in Dublin, Ohio operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1114103504 assigned on January 2008. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Prevahealth Wellness Diagnostic Center. The authorized official of this NPI record is Mr. Gillbert Gradisar Esq (President)

NPI
1114103504 Verify this NPI
Provider Legal Name
VITAL SCAN OF CENTRAL OHIO
Other Organization Name
PREVAHEALTH WELLNESS DIAGNOSTIC CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5747 PERIMETER DR. STE 105 DUBLIN, OH 43017
Location Phone
(614) 652-5888
Location Fax
(614) 652-5890
Mailing Address
5747 PERIMETER DR. STE 105 DUBLIN, OH 43017
Mailing Phone
(614) 652-5888
Mailing Fax
(614) 652-5890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2008
Last Update Date
01-15-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GILLBERT GRADISAR ESQ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(614) 652-5888

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114103504, enumerated as an "organization" on January 15, 2008.

The provider is located at 5747 PERIMETER DR. STE 105 DUBLIN, OH 43017 and the phone number is (614) 652-5888.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.