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Organization
NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Active
Organization
NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Active
Other names
NOMS Imaging Medina, NOMS Allegiance Imaging Medina
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA FREDERICK (CEO)
(419) 626-6161
Entity
Organization
Contact information
Practice address
3443 MEDINA RD STE 103, MEDINA, OH 44256-5965
(330) 723-6600
(330) 725-6671
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2253556
—
OH
Enumeration date
05/08/2020
Last updated
06/18/2020
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