# MEDCORP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033385091
- **Authorized official:** MR. RICHARD BAGE (PRESIDENT CEO)
- **Authorized official phone:** (419) 727-7000

## Contact information

- **Practice address:** 745 MEDCORP DR, TOLEDO, OH 43608-1376
- **Practice address phone:** (419) 727-7000
- **Practice address fax:** (419) 727-8439
- **Mailing address:** 745 MEDCORP DR, TOLEDO, OH 43608-1376
- **Mailing address phone:** (419) 727-7000
- **Mailing address fax:** (419) 727-8439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 06-C-00579-01 | OH | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 05/18/2011