Healthcare Provider Details

I. General information

NPI: 1649312984
Provider Name (Legal Business Name): MEDICAL INNOVATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 E RING RD
IRONTON OH
45638-9610
US

IV. Provider business mailing address

1015 E RING RD
IRONTON OH
45638-9610
US

V. Phone/Fax

Practice location:
  • Phone: 740-532-1100
  • Fax: 740-532-7125
Mailing address:
  • Phone: 740-532-1100
  • Fax: 740-532-7125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT BALLARD
Title or Position: MANAGER
Credential: DC
Phone: 740-532-1100