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General NPI Number Information
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NPI Number | 1316999121
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Entity Type | Organization
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Legal Business Name | RADIOLOGY AND IMAGING SERVICES
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 400 WABASH AVE SUITE 3500
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City | AKRON
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State | OH
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Zip | 44307-2433
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Country | US
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Telephone | 330-344-1400
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Fax | 330-344-0112
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Provider Business Mailing Address
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Address Line | PO BOX 931286
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City | CLEVELAND
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State | OH
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Zip | 44193-1494
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Country | US
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Telephone | 888-719-9012
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Fax | 330-493-7123
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CARRIE MCBRIDE
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Credential |
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Telephone | 330-344-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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