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Organization
EAST SIDE IMAGING, LLC
Active
Organization
EAST SIDE IMAGING, LLC
Active
Other names
RAYUS RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT C. VAN KIRK (PRESIDENT AND CEO)
(330) 653-3968
Entity
Organization
Contact information
Practice address
3702 S STATE ST STE 111, SOUTH SALT LAKE, UT 84115-5078
(801) 288-9671
(801) 288-9583
Mailing address
PO BOX 645846, CINCINNATI, OH 45264-5846
(866) 674-7933
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
08/11/2021
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