Healthcare Provider Details

I. General information

NPI: 1720166044
Provider Name (Legal Business Name): SHARED MEDICAL IMAGING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 WEST 6TH ST SUITE A
EAST LIVERPOOL OH
43920
US

IV. Provider business mailing address

77 W. MCKINLEY WAY
POLAND OH
44514
US

V. Phone/Fax

Practice location:
  • Phone: 866-627-3900
  • Fax:
Mailing address:
  • Phone: 330-707-1900
  • Fax: 330-707-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberI620536
License Number State

VIII. Authorized Official

Name: JOSPEH M MCCABE
Title or Position: PRESIDENT
Credential:
Phone: 724-933-9300