# ST ELIZABETH SOUTHWOODS IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwoods Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477731073
- **Authorized official:** MR. JAMES E FULCINITI CPA (TREASURER)
- **Authorized official phone:** (330) 729-0357

## Contact information

- **Practice address:** 250 DEBARTOLO PL, BLDG B, YOUNGSTOWN, OH 44512-7004
- **Practice address phone:** (330) 726-2595
- **Practice address fax:** (330) 726-3249
- **Mailing address:** 250 DEBARTOLO PL, BLDG B, YOUNGSTOWN, OH 44512-7004
- **Mailing address phone:** (330) 726-2595
- **Mailing address fax:** (330) 726-3249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 0056IC | OH | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 02/06/2008