Organization Name: | ENHANCED MEDICAL IMAGING OF TOLEDO, LLC |
NPI Number: | 1992998520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC WNUCK (CEO) |
Mailing Address: | 6060 Renaissance Pl Toledo |
State: | OH US |
Postal Code: | 436234724 |
Phone Number: | 4198856000 |
Fax Number: | 8772420350 |
NPI Enumeration Date: | 08/27/2007 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 0398IC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |