MEDICARE: WORLD CLASS MEDICAL IMAGING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	1231IC	OH

General Provider Information

NPI Number	:	1194753640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD CLASS MEDICAL IMAGING

Provider Business Mailing Address
First Line	:	1735 WEST MAIN STREET
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-2301
Country	:	US
Telephone Number	:	937-339-4800
Fax Number	:	937-440-0974

Provider Business Practice Location Address
First Line	:	1735 WEST MAIN STREET
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-2301
Country	:	US
Telephone Number	:	937-339-4800
Fax Number	:	937-440-0974

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DIANA ELAINE SZENAY
Credential	:
Telephone Number	:	937-339-4800

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	08/22/2020

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Directions to “WORLD CLASS MEDICAL IMAGING ” Practice Location

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