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Organization
WOMEN'S IMAGING AND WELLNESS, INC.
Active
Organization
WOMEN'S IMAGING AND WELLNESS, INC.
Active
Other names
Solis Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D POLFREMAN (CEO)
(469) 398-4110
Entity
Organization
Contact information
Practice address
5156 BLAZER PKWY, STE 120, DUBLIN, OH 43017-7318
(614) 791-9355
(614) 791-2970
Mailing address
15601 DALLAS PARKWAY, STE. 500, ADDISON, TX 75001-6021
(469) 398-4110
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
03-G-02046-01
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299853
ANTHEM PIN
OH
01
—
101212
MAMMOGRAPHY CERTIFICATION
OH
05
—
2817241
—
OH
Enumeration date
06/28/2005
Last updated
11/20/2012
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