Organization
WATKINS-TSAI IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUEY JY TSAI (CHAIRMAN)
(740) 532-6131
Entity
Organization
Contact information
Practice address
205 MARION PIKE, COAL GROVE, OH 45638
(740) 532-6131
(740) 532-6082
Mailing address
205 MARION PIKE, COAL GROVE, OH 45638
(740) 532-6131
(740) 532-6082
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
11331C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2528769
—
OH
01
—
DC9056
RR MEDICARE GROUP
—
01
—
P00197531
RR MEDICARE PIN
—
Enumeration date
08/25/2006
Last updated
08/22/2020
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