| NPI | 1740225531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE VAUGHN VP, Provider Enrollment 330-620-0384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2025-11-07 |