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NORTHEAST RADIOLOGY INC
NPI 1508865155
Specialist in Cincinnati, OH

Active since July 16, 2005CLIA 36D2317239 · Waiver
10500 MONTGOMERY RD, CINCINNATI, OH 45242(513) 965-8041(513) 965-8091 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northeast Radiology Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST RADIOLOGY INC (NPI 1508865155) is a healthcare organization registered as a specialist in Cincinnati, Ohio and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Lynn Gray, Client Services Manager, as its authorized official.

NPPES Registry Identity

NPI1508865155
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHEAST RADIOLOGY INC
Location Address10500 MONTGOMERY RDCincinnati, OH 45242-4402
Mailing AddressPo Box 42468Cincinnati, OH 45242-0468 · (513) 965-8041 · Fax (513) 965-8091
Phone(513) 965-8041
Fax(513) 965-8091
Organization SubpartNo
Authorized OfficialLynn GrayClient Services Manager · (513) 965-8041
Enumeration DateJuly 16, 2005
Last NPPES UpdateFebruary 20, 2008
✔ NPI 1508865155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10500 MONTGOMERY RD, Cincinnati, OH 45242
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Other Identifiers 4

Medicaid0364761OH
Medicare PIN9912991OH
Medicaid65930653KY
Medicare PINCI0103OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2317239

PC North · Cincinnati, OH
Active · expires Jan 20, 2027
CLIA Number36D2317239
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorSiddharth Shankar
Laboratory Phone(513) 793-2077
Laboratory LocationPC North10506B Montogomery Rd, Ste 407, Cincinnati, OH 45242
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRAKE A SECCURRO MD
Hospitalist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
GREGORIO MICELI DPM
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
BENJAMIN BETHAY
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
SMITH BEARELLY MD
Hospitalist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 865-2246
VICTOR KOMLA DOE
Pharmacist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1184
REGENCY HOSPITAL OF CINCINNATI, LLC
Internal Medicine
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (717) 972-1100
SYED SHAD MAHMOOD
Internal Medicine (Critical Care Medicine)
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
DAVID A. FENWICK P.A.-C
Physician Assistant
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (514) 865-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Radiology Inc's NPI number?

The NPI number for Northeast Radiology Inc is 1508865155. It was assigned to this organization in the NPPES registry on July 16, 2005.

Where is Northeast Radiology Inc located?

Northeast Radiology Inc is located at 10500 Montgomery Rd, Cincinnati, OH 45242. The listed phone number is (513) 965-8041.

What is Northeast Radiology Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Northeast Radiology Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2317239) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Radiology Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Northeast Radiology Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Radiology Inc was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.