Organization Name: | AHS OHIO DIAGNOSTICS, LLC |
NPI Number: | 1225343510 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN PETROVICH (SENIOR VP AND SECRETARY) |
Mailing Address: | 20 Ohltown Rd Suite 103 Austintown |
State: | OH US |
Postal Code: | 445152331 |
Phone Number: | 3308841530 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2010 |
NPI Last Update Date: | 08/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |