| NPI | 1821094186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN JOSEPH SMITH Member 330-491-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 1125IC) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-12-18 |