DVL VASCULAR LAB INC (NPI# 1114919065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114919065 |
| Entity Type | Organization |
| Organization Name | DVL VASCULAR LAB INC |
| Practice Address |
627 S Edwin C Moses Blvd Suite 3h Dayton OH 45417-3461 |
| Mailing Address |
Po Box 276 Englewood OH 45322-0276 |
| Practice Telephone | 9372209934 |
| Practice Fax Number | 9372209936 |
| Mailing Telephone | 9372209934 |
| Mailing Fax Number | 9372209936 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | MRS. SHARON KAYE ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 9372209934 |
| Authorized Official Credential | RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
804704 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0872793 | 05 |
| Street Address |
627 S EDWIN C MOSES BLVD SUITE 3H |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813720 | Andy Chung Hur | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2019-04-22 |
| 1932669033 | Brandon Saia | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45417 | 2019-03-23 |
| 1952832446 | Jonathan Hester | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, East Medical Plaza, 1st Floor, Dayton, OH 45417-3461 | 2017-03-25 |
| 1275081564 | Jonathan Omane | Physician Assistant | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2016-09-14 |
| 1134574098 | Randy Smith | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2016-04-28 |
| 1982099941 | David Provaznik Jr. | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, East Medical Plaza 1st Floor, Dayton, OH 45417-3461 | 2015-04-06 |
| 1700206992 | Logan Parrott | Student in an Organized Health Care Education/Training Program | 627 S Edwin C Moses Blvd, Dayton, OH 45417-3461 | 2014-04-26 |
| 1639483217 | Matthew R Newton | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, Department of Psychiatry, Dayton, OH 45417-3461 | 2010-08-05 |
| 1295059129 | Dayton Cardiac Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 627 S Edwin C Moses Blvd, Suite Emp 5j, Dayton, OH 45417-3461 | 2010-03-22 |
| 1821220153 | Rhamey Allyn Tubbs | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, Dayton, OH 45408-1461 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
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| 1316388267 | Prohealth Mobile X-ray LLC | Radiology | 12611 Eckel Junction Rd, Perrysburg, OH 43551-1304 | 2013-07-08 |
| 1538486055 | Physicians Choice Hospital - Fremont Physicians | Radiology | 2390 Enterprise St, Fremont, OH 43420-8507 | 2010-04-23 |
| 1184855694 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 20455 Lorain Rd, Cleveland, OH 44126-3494 | 2009-07-31 |
| 1174754683 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 19250 Bagley Rd, Cleveland, OH 44130-3347 | 2009-07-31 |
| 1780815209 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 8401 Mentor Ave, Mentor, OH 44060-5842 | 2009-07-31 |
| 1205957370 | Youngstown Associates In Radiology | Radiology | 25 N Canfield Niles Rd, Youngstown, OH 44515-2328 | 2007-04-03 |
| 1093846263 | Ultrasound and Echo Cardiogram Medical Diagnostics, Inc. | Radiology | 5594 State Route 7, Andover, OH 44003-0179 | 2007-03-08 |
| 1720017999 | Hillcrest Radiology Associates, Inc | Radiology | 6780 Mayfield Rd, Mayfield Hts, OH 44124-2203 | 2006-07-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.