| NPI | 1265544662 |
|---|---|
| Doing Business As | SOUTHSIDE IMAGING DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. KAMPMAN Chief Financial Officer 216-831-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: OH 0860IC) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |