Organization
IMAGING RESOURCE CENTERS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ED YOUNG (OWNER/CEO)
(937) 748-1514
Entity
Organization
Contact information
Practice address
2991 NEWMARK DR, MIAMISBURG, OH 45342-5416
(937) 885-5840
(937) 885-5863
Mailing address
2991 NEWMARK DR, MIAMISBURG, OH 45342-5416
(937) 424-9268
(937) 424-9272
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
06-E-04159-01
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200479060A
—
IN
05
—
2067534
—
OH
Enumeration date
06/06/2006
Last updated
11/28/2011
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