| Organization Name: | CLEAR IMAGE MRI/CT |
| NPI Number: | 1023093531 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES CLARK (OFFICE MANAGER) |
| Mailing Address: | 4995 Bradenton Ave Suite 100 Dublin |
| State: | OH US |
| Postal Code: | 430173543 |
| Phone Number: | 6146599800 |
| Fax Number: | 6146599700 |
| NPI Enumeration Date: | 12/08/2005 |
| NPI Last Update Date: | 02/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471M1202X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Magnetic Resonance Imaging |
| Taxonomy Definition: | |