PROVISION IMAGING OF NORTHEAST OHIO

LYNDHURST, OH
NPI1346264439
Entity TypeOrganization
Authorized ContactROBERT MATT TRENT
COO
405-842-7768
Organization Subpart ?No
Primary Taxonomy261QR0200X Clinic/Center, Radiology
(Licence: OH  1090IC)
Enumeration Date2006-07-26
Last Update Date2020-08-22
Business Address
PROVISION IMAGING OF NORTHEAST OHIO
29001 CEDAR RD SUITE 104
LYNDHURST, OH 44124-4062
Phone number: 440-449-2001
Mailing Address
PROVISION IMAGING OF NORTHEAST OHIO
1601 NW EXPRESSWAY SUITE 1300
OKLAHOMA CITY, OK 73118
Phone number: 405-842-7768
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