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Organization
PROGRESSIVE WELLNESS IMAGING
Active
Organization
PROGRESSIVE WELLNESS IMAGING
Active
Parent organization
PHYSICIANS IMAGING SOLUTIONS II
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS IMAGING SOLUTIONS II
Authorized official
MRS. DIANE S MORENO (GENERAL MANAGER)
(419) 517-1700
Entity
Organization
Contact information
Practice address
7640 SYLVANIA AVE, SUITE A-1, SYLVANIA, OH 43560-9729
(419) 517-1700
(417) 517-1711
Mailing address
7640 SYLVANIA AVE, SUITE A-1, SYLVANIA, OH 43560-9729
(419) 517-1700
(417) 517-1711
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
IOG1038601
OH
Other
Enumeration date
10/20/2006
Last updated
10/15/2007
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