MEDICARE: RADIOLOGY AND IMAGING SERVICES READING CENTER

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
1	2085R0202X	Diagnostic Radiology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CN1167	OTHER	OH	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1881628493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY AND IMAGING SERVICES READING CENTER

Provider Business Mailing Address
First Line	:	PO BOX 931286
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-1494
Country	:	US
Telephone Number	:	888-719-9012
Fax Number	:	330-493-7123

Provider Business Practice Location Address
First Line	:	2603 W MARKET ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-4208
Country	:	US
Telephone Number	:	330-867-7274
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHERRIE LARM
Credential	:
Telephone Number	:	330-867-7274

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2008

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