# PROGRESSIVE WELLNESS IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICIANS IMAGING SOLUTIONS II
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912080441
- **Legal business name:** PHYSICIANS IMAGING SOLUTIONS II
- **Authorized official:** MRS. DIANE S MORENO (GENERAL MANAGER)
- **Authorized official phone:** (419) 517-1700

## Contact information

- **Practice address:** 7640 SYLVANIA AVE, SUITE A-1, SYLVANIA, OH 43560-9729
- **Practice address phone:** (419) 517-1700
- **Practice address fax:** (417) 517-1711
- **Mailing address:** 7640 SYLVANIA AVE, SUITE A-1, SYLVANIA, OH 43560-9729
- **Mailing address phone:** (419) 517-1700
- **Mailing address fax:** (417) 517-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | IOG1038601 | OH | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 10/15/2007