Healthcare Provider Details

I. General information

NPI: 1003840158
Provider Name (Legal Business Name): AKRON RADIOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

525 E MARKET ST
AKRON OH
44304-1619
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-4028
  • Fax: 330-375-7932
Mailing address:
  • Phone: 330-375-4028
  • Fax: 330-375-7932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KEN HOHMAN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 330-375-4028