Healthcare Provider Details

I. General information

NPI: 1982916573
Provider Name (Legal Business Name): STEEL VALLEY DIVERSIFIED, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 10/19/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5136 TUSCARAWAS ST W
CANTON OH
44708-5016
US

IV. Provider business mailing address

5136 TUSCARAWAS ST W
CANTON OH
44708-5016
US

V. Phone/Fax

Practice location:
  • Phone: 888-745-5771
  • Fax: 330-479-1933
Mailing address:
  • Phone: 888-745-5771
  • Fax: 330-479-1933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: TERRY ROTHERMEL
Title or Position: PRESIDENT
Credential:
Phone: 888-745-5771