Organization Name: | PRECISION OPEN MRI LLC |
NPI Number: | 1457302309 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RON CLARK (PRESIDENT & COO) |
Mailing Address: | 4760 Richmond Rd Warrensville Heights |
State: | OH US |
Postal Code: | 441285978 |
Phone Number: | 2167658390 |
Fax Number: | 2167658392 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 11/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 10741C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |