Organization Name: | WATKINS-TSAI IMAGING CENTER LLC |
NPI Number: | 1154439800 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUEY JY TSAI (CHAIRMAN) |
Mailing Address: | 205 Marion Pike Coal Grove |
State: | OH US |
Postal Code: | 45638 |
Phone Number: | 7405326131 |
Fax Number: | 7405326082 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3401X |
License Number: | 11331C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Computed Tomography |
Taxonomy Definition: |