Organization
MEDCORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BAGE (PRESIDENT CEO)
(419) 727-7000
Entity
Organization
Contact information
Practice address
745 MEDCORP DR, TOLEDO, OH 43608-1376
(419) 727-7000
(419) 727-8439
Mailing address
745 MEDCORP DR, TOLEDO, OH 43608-1376
(419) 727-7000
(419) 727-8439
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
06-C-00579-01
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721026
—
OH
Enumeration date
04/30/2008
Last updated
05/18/2011
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