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NPI Code Detail

MEDICARE: R S & J IMAGING, INC

MEDICARE: R S & J IMAGING, INC
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
1261QR0200XRadiology Clinic/Center1058ICOH
2261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center1058ICOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477744225
Entity Type Code : Organization
Provider Name (Legal Business Name) : R S & J IMAGING, INC
Provider Business Mailing Address
First Line : 4400 ROCKSIDE RD
Second Line : SUITE 1100
City : INDEPENDENCE
State : OH
Zip : 44131-2109
Country : US
Telephone Number : 216-464-8484
Fax Number : 216-464-2444
Provider Business Practice Location Address
First Line : 34600 CHARDON RD
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-8480
Country : US
Telephone Number : 440-585-6163
Fax Number : 440-944-4346
Authorized Official
Title or Position : PRESIDENT & COO
Name : MR. RON L CLARK
Credential :
Telephone Number : 216-464-8484
Provider Enumeration Date : 08/07/2007
Last Update Date : 04/20/2008

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Directions to “R S & J IMAGING, INC ” Practice Location

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