Healthcare Provider Details
I. General information
NPI: 1639217987
Provider Name (Legal Business Name): RADIOLOGY PROFESSIONALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2007
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 E WASHINGTON ST
MEDINA OH
44256-2170
US
IV. Provider business mailing address
18975 VILLAVIEW RD STE 8
CLEVELAND OH
44119-3053
US
V. Phone/Fax
- Phone: 330-725-1000
- Fax: 330-721-4908
- Phone: 330-898-1633
- Fax: 216-267-6526
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
STEVEN
LITTMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-721-5171