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NPI Code Detail

MEDICARE: MEDICAL IMAGING NETWORK INC

MEDICARE: MEDICAL IMAGING NETWORK INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588652689
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL IMAGING NETWORK INC
Provider Business Mailing Address
First Line : 819 MCKAY CT
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-5713
Country : US
Telephone Number : 330-726-0322
Fax Number : 330-726-3260
Provider Business Practice Location Address
First Line : 819 MCKAY CT
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-5713
Country : US
Telephone Number : 330-726-0322
Fax Number : 330-726-3260
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALBERT M BLEGGI
Credential : MD
Telephone Number : 330-726-9006
Provider Enumeration Date : 10/12/2005
Last Update Date : 08/22/2020

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Directions to “MEDICAL IMAGING NETWORK INC ” Practice Location

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