| NPI | 1487608931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE VAUGHN Vice President, Provider Enrollment 330-309-6984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085B0100X Radiology, Body Imaging | |
| 2085N0700X | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-09-04 |