# HOCKING VALLEY IMAGING, LLC

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

## Provider details

- **NPI number:** 1548269103
- **Authorized official:** DR. ROY BONTRAGER M.D. (PRESIDENT)
- **Authorized official phone:** (740) 380-6665

## Contact information

- **Practice address:** 31500 CHIEFTAIN DR, STE B, LOGAN, OH 43138-8421
- **Practice address phone:** (740) 380-6665
- **Practice address fax:** (740) 380-6635
- **Mailing address:** 31500 CHIEFTAIN DR, STE B, LOGAN, OH 43138-8421
- **Mailing address phone:** (740) 380-6665
- **Mailing address fax:** (740) 380-6635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 1071IC | OH | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 08/22/2020